Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.30 / $217.62 / $1,323.13	Facility		$195.30	$217.62	$1,323.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $217.62 / $223.20	Professional		$139.50	$217.62	$223.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.58 / $292.95 / $1,717.64	Facility		$284.58	$292.95	$1,717.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $279.00 / $476.59	Professional		$275.00	$279.00	$476.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.05 / $565.80 / $1,590.80	Facility		$507.05	$565.80	$1,590.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.94 / $177.26 / $1,080.14	Professional		$125.94	$177.26	$1,080.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $127.81 / $130.33 / $404.55	Facility		$127.81	$130.33	$404.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $153.44 / $153.44	Professional		$153.44	$153.44	$153.44
United Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $117.18 / $223.20	Professional		$63.72	$117.18	$223.20