Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.05 / $230.72 / $1,402.78	Facility		$207.05	$230.72	$1,402.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.72 / $230.72 / $257.33	Professional		$230.72	$230.72	$257.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.37 / $1,821.01 / $1,946.07	Facility		$287.37	$1,821.01	$1,946.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.00 / $293.88 / $404.49	Professional		$266.00	$293.88	$404.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.55 / $728.67 / $1,686.50	Facility		$537.55	$728.67	$1,686.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.31 / $140.72 / $404.81	Professional		$134.31	$140.72	$404.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $230.72 / $443.69 / $443.69	Facility		$230.72	$443.69	$443.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.68 / $162.68 / $162.68	Professional		$162.68	$162.68	$162.68
United Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $168.71 / $295.79	Professional		$124.23	$168.71	$295.79