Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $115.76 / $703.82	Facility		$74.45	$115.76	$703.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $129.12	Professional		$115.76	$115.76	$129.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.75 / $607.65 / $1,021.46	Facility		$258.75	$607.65	$1,021.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.41 / $172.00 / $373.00	Professional		$148.41	$172.00	$373.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.73 / $430.26 / $894.88	Facility		$269.73	$430.26	$894.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.27 / $91.97 / $213.21	Professional		$75.27	$91.97	$213.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.76 / $171.36 / $290.36	Facility		$115.76	$171.36	$290.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $212.60 / $270.00	Professional		$204.00	$212.60	$270.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $81.63 / $117.54	Professional		$81.63	$81.63	$117.54
United Facility/Professional Facility Modifier Low / Median / High Price $133.57 / $133.57 / $178.09	Facility		$133.57	$133.57	$178.09
United Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $89.05 / $207.40	Professional		$62.33	$89.05	$207.40