Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.88 / $56.88 / $56.88	Facility		$56.88	$56.88	$56.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $56.88 / $61.62	Professional		$56.88	$56.88	$61.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $519.58 / $991.43 / $2,283.59	Facility		$519.58	$991.43	$2,283.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.69 / $93.00 / $129.62	Professional		$63.69	$93.00	$129.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.70 / $1,251.76 / $2,020.54	Facility		$282.70	$1,251.76	$2,020.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $102.28 / $166.55	Professional		$75.70	$102.28	$166.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.57 / $115.82 / $253.78	Facility		$62.57	$115.82	$253.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.91 / $64.49 / $87.39	Professional		$50.91	$64.49	$87.39
United Facility/Professional Facility Modifier Low / Median / High Price $377.12 / $377.12 / $450.87	Facility		$377.12	$377.12	$450.87
United Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $95.71 / $139.28	Professional		$67.14	$95.71	$139.28