Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.47 / $253.47 / $253.47	Facility		$253.47	$253.47	$253.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.47 / $253.47 / $277.08	Professional		$253.47	$253.47	$277.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.36 / $1,470.64 / $3,185.59	Facility		$775.36	$1,470.64	$3,185.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $203.25 / $362.03	Professional		$155.00	$203.25	$362.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,052.74 / $1,676.79 / $2,706.61	Facility		$1,052.74	$1,676.79	$2,706.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $371.16 / $635.79	Professional		$155.47	$371.16	$635.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $290.98 / $905.13	Facility		$162.00	$290.98	$905.13
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 / $270.01 / $362.92	Professional		$41.02	$270.01	$362.92
United Facility/Professional Professional Modifier Low / Median / High Price $247.88 / $348.63 / $565.79	Professional		$247.88	$348.63	$565.79