Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.91 / $161.91 / $161.91	Facility		$161.91	$161.91	$161.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.91 / $161.91 / $175.61	Professional		$161.91	$161.91	$175.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.55 / $863.53 / $1,823.06	Facility		$509.55	$863.53	$1,823.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.22 / $191.00 / $264.27	Professional		$174.22	$191.00	$264.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $653.75 / $1,251.76 / $2,020.54	Facility		$653.75	$1,251.76	$2,020.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.35 / $243.87 / $407.27	Professional		$172.35	$243.87	$407.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $168.59 / $248.00 / $563.66	Facility		$168.59	$248.00	$563.66
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 / $176.80 / $237.54	Professional		$41.02	$176.80	$237.54
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 $174.48 / $236.08 / $362.82	Professional		$174.48	$236.08	$362.82