Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.59 / $116.59 / $116.59	Facility		$116.59	$116.59	$116.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.59 / $116.59 / $156.21	Professional		$116.59	$116.59	$156.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.06 / $617.96 / $1,259.68	Facility		$302.06	$617.96	$1,259.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.69 / $131.00 / $204.06	Professional		$117.69	$131.00	$204.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.78 / $1,251.76 / $2,020.54	Facility		$502.78	$1,251.76	$2,020.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.46 / $195.26 / $341.46	Professional		$130.46	$195.26	$341.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.59 / $169.00 / $498.18	Facility		$116.59	$169.00	$498.18
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 / $109.73 / $155.42	Professional		$41.02	$109.73	$155.42
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 $138.78 / $190.19 / $302.79	Professional		$138.78	$190.19	$302.79