Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $186.21	Professional		$87.10	$112.20	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,000.00 / $2,238.72	Facility		$512.86	$1,000.00	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $245.47	Professional		$107.15	$144.54	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $1,071.52 / $2,041.74	Facility		$83.18	$1,071.52	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $309.03	Professional		$134.90	$181.97	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $190.55 / $323.59	Facility		$107.15	$190.55	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,698.24 / $2,570.40	Facility		$380.19	$1,698.24	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $251.19	Professional		$104.71	$131.83	$251.19