Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.75 / $127.75 / $127.75	Facility		$127.75	$127.75	$127.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $127.75 / $142.06	Professional		$127.75	$127.75	$142.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.88 / $754.20 / $1,519.48	Facility		$396.88	$754.20	$1,519.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $141.97 / $188.49	Professional		$132.00	$141.97	$188.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.46 / $1,251.76 / $2,020.54	Facility		$624.46	$1,251.76	$2,020.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.05 / $213.94 / $374.14	Professional		$133.05	$213.94	$374.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.86 / $173.00 / $551.13	Facility		$131.86	$173.00	$551.13
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 $101.83 / $128.99 / $174.79	Professional		$101.83	$128.99	$174.79
United Facility/Professional Facility Modifier Low / Median / High Price $295.75 / $298.43 / $319.62	Facility		$295.75	$298.43	$319.62
United Facility/Professional Professional Modifier Low / Median / High Price $158.51 / $185.34 / $332.89	Professional		$158.51	$185.34	$332.89