Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.91 / $134.72 / $819.16	Facility		$120.91	$134.72	$819.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $134.72 / $150.28	Professional		$92.18	$134.72	$150.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,063.40 / $1,063.40 / $1,136.43	Facility		$1,063.40	$1,063.40	$1,136.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.73 / $203.00 / $269.83	Professional		$172.73	$203.00	$269.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.91 / $425.50 / $984.83	Facility		$313.91	$425.50	$984.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $94.68 / $633.54	Professional		$78.45	$94.68	$633.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.72 / $203.72 / $297.10	Facility		$134.72	$203.72	$297.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Professional		$95.00	$95.00	$95.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $103.64 / $173.16	Professional		$72.55	$103.64	$173.16