Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.00 / $218.40 / $1,327.87	Facility		$196.00	$218.40	$1,327.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.40 / $218.40 / $243.60	Professional		$218.40	$218.40	$243.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.80 / $1,723.80 / $1,842.18	Facility		$1,723.80	$1,723.80	$1,842.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $93.91 / $319.68	Professional		$85.00	$93.91	$319.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.53 / $567.84 / $1,596.50	Facility		$508.53	$567.84	$1,596.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.08 / $177.91 / $428.39	Professional		$127.08	$177.91	$428.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.40 / $280.00 / $406.00	Facility		$218.40	$280.00	$406.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $154.00 / $154.00	Professional		$154.00	$154.00	$154.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $168.00 / $254.97	Professional		$117.60	$168.00	$254.97