Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.59 / $152.59 / $152.59	Facility		$152.59	$152.59	$152.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.59 / $152.59 / $165.15	Professional		$152.59	$152.59	$165.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $366.55 / $624.02 / $1,270.45	Facility		$366.55	$624.02	$1,270.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.69 / $196.35 / $328.80	Professional		$163.69	$196.35	$328.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.10 / $1,676.79 / $2,706.61	Facility		$636.10	$1,676.79	$2,706.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.57 / $231.45 / $378.50	Professional		$165.57	$231.45	$378.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.21 / $245.00 / $529.90	Facility		$158.21	$245.00	$529.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $399.25 / $399.25 / $399.25	Professional		$399.25	$399.25	$399.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $176.80 / $237.54	Professional		$41.02	$176.80	$237.54
United Facility/Professional Facility Modifier Low / Median / High Price $489.40 / $489.40 / $585.22	Facility		$489.40	$489.40	$585.22
United Facility/Professional Professional Modifier Low / Median / High Price $163.55 / $222.89 / $341.80	Professional		$163.55	$222.89	$341.80