Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.22 / $167.40 / $1,017.79	Facility		$150.22	$167.40	$1,017.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.40 / $167.40 / $186.72	Professional		$167.40	$167.40	$186.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,321.30 / $1,321.30 / $1,412.04	Facility		$1,321.30	$1,321.30	$1,412.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $214.62 / $293.49	Professional		$198.00	$214.62	$293.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.04 / $528.71 / $1,223.69	Facility		$390.04	$528.71	$1,223.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.39 / $102.00 / $682.36	Professional		$97.39	$102.00	$682.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $219.43 / $369.15	Facility		$167.40	$219.43	$369.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.04 / $118.04 / $118.04	Professional		$118.04	$118.04	$118.04
United Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $122.41 / $214.62	Professional		$90.14	$122.41	$214.62