Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.57 / $164.57 / $164.57	Facility		$164.57	$164.57	$164.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.57 / $164.57 / $181.18	Professional		$164.57	$164.57	$181.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.07 / $827.56 / $1,823.06	Facility		$480.07	$827.56	$1,823.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $174.40 / $255.16	Professional		$133.00	$174.40	$255.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $697.92 / $1,251.76 / $2,020.54	Facility		$697.92	$1,251.76	$2,020.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.06 / $241.14 / $439.64	Professional		$133.06	$241.14	$439.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $188.81 / $588.04	Facility		$150.00	$188.81	$588.04
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 / $184.17 / $269.68	Professional		$41.02	$184.17	$269.68
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 $173.88 / $239.09 / $386.46	Professional		$173.88	$239.09	$386.46