Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $110.15 / $110.15	Facility		$110.15	$110.15	$110.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $110.15 / $118.78	Professional		$103.62	$110.15	$118.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $689.71 / $1,273.74 / $2,082.69	Facility		$689.71	$1,273.74	$2,082.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $124.85 / $213.61	Professional		$96.00	$124.85	$213.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.83 / $723.86 / $1,127.00	Facility		$239.83	$723.86	$1,127.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.05 / $200.77 / $324.85	Professional		$141.05	$200.77	$324.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.17 / $256.00 / $396.27	Facility		$121.17	$256.00	$396.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $86.21 / $86.21	Professional		$86.21	$86.21	$86.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $103.98 / $174.40	Professional		$57.96	$103.98	$174.40
United Facility/Professional Professional Modifier Low / Median / High Price $132.62 / $189.92 / $277.12	Professional		$132.62	$189.92	$277.12