Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.26 / $134.26 / $134.26	Facility		$134.26	$134.26	$134.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.26 / $134.26 / $145.32	Professional		$134.26	$134.26	$145.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $369.91 / $727.68 / $1,454.47	Facility		$369.91	$727.68	$1,454.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $144.61 / $199.56	Professional		$127.00	$144.61	$199.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.12 / $1,251.76 / $2,020.54	Facility		$527.12	$1,251.76	$2,020.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.03 / $184.10 / $324.07	Professional		$128.03	$184.10	$324.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $133.00 / $166.00 / $427.29	Facility		$133.00	$166.00	$427.29
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 Professional Modifier Low / Median / High Price $138.26 / $190.88 / $300.66	Professional		$138.26	$190.88	$300.66