Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.70 / $82.70 / $82.70	Facility		$82.70	$82.70	$82.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $82.70 / $89.62	Professional		$82.70	$82.70	$89.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.37 / $711.48 / $1,454.47	Facility		$400.37	$711.48	$1,454.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.83 / $189.00 / $247.84	Professional		$91.83	$189.00	$247.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.11 / $1,251.76 / $2,020.54	Facility		$381.11	$1,251.76	$2,020.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $153.66 / $242.20	Professional		$109.20	$153.66	$242.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $90.97 / $198.00 / $338.31	Facility		$90.97	$198.00	$338.31
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 $57.12 / $80.55 / $118.26	Professional		$57.12	$80.55	$118.26
United Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $123.38 / $215.57	Professional		$96.15	$123.38	$215.57