Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $363.08	Professional		$199.53	$251.19	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $645.65 / $1,445.44	Facility		$338.84	$645.65	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $302.00	Professional		$194.98	$229.09	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,071.52 / $2,041.74	Facility		$190.55	$1,071.52	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $588.84	Professional		$181.97	$295.12	$588.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $269.15 / $645.65	Facility		$199.53	$269.15	$645.65
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 $204.17 / $263.03 / $407.38	Professional		$204.17	$263.03	$407.38