Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.17 / $84.17 / $84.17	Facility		$84.17	$84.17	$84.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $84.17 / $91.17	Professional		$84.17	$84.17	$91.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $393.81 / $717.62 / $1,454.47	Facility		$393.81	$717.62	$1,454.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $176.00 / $230.79	Professional		$93.45	$176.00	$230.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.59 / $1,251.76 / $2,020.54	Facility		$379.59	$1,251.76	$2,020.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.96 / $148.93 / $246.52	Professional		$123.96	$148.93	$246.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.59 / $203.00 / $365.55	Facility		$92.59	$203.00	$365.55
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 $41.02 / $81.43 / $152.85	Professional		$41.02	$81.43	$152.85
United Facility/Professional Facility Modifier Low / Median / High Price $377.12 / $377.12 / $377.12	Facility		$377.12	$377.12	$377.12
United Facility/Professional Professional Modifier Low / Median / High Price $99.99 / $125.64 / $207.43	Professional		$99.99	$125.64	$207.43