Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $169.82	Professional		$83.18	$107.15	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $645.65 / $1,380.38	Facility		$338.84	$645.65	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $208.93	Professional		$102.33	$138.04	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $1,071.52 / $2,041.74	Facility		$81.28	$1,071.52	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $257.04	Professional		$123.03	$162.18	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $181.97 / $309.03	Facility		$102.33	$181.97	$309.03
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 $100.00 / $123.03 / $223.87	Professional		$100.00	$123.03	$223.87