Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.05 / $199.05 / $199.05	Facility		$199.05	$199.05	$199.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.05 / $199.05 / $216.45	Professional		$199.05	$199.05	$216.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.59 / $727.68 / $1,496.13	Facility		$403.59	$727.68	$1,496.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $216.54 / $294.06	Professional		$196.00	$216.54	$294.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $768.58 / $1,251.76 / $2,020.54	Facility		$768.58	$1,251.76	$2,020.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.49 / $280.26 / $486.10	Professional		$195.49	$280.26	$486.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.05 / $259.19 / $672.92	Facility		$199.05	$259.19	$672.92
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 / $207.79 / $278.24	Professional		$41.02	$207.79	$278.24
United Facility/Professional Facility Modifier Low / Median / High Price $377.12 / $377.12 / $450.87	Facility		$377.12	$377.12	$450.87
United Facility/Professional Professional Modifier Low / Median / High Price $205.15 / $268.35 / $446.36	Professional		$205.15	$268.35	$446.36