Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.79 / $464.95 / $501.05	Facility		$181.79	$464.95	$501.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.79 / $186.46 / $233.07	Professional		$181.79	$186.46	$233.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,471.02 / $1,471.02 / $1,572.05	Facility		$1,471.02	$1,471.02	$1,572.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.07 / $264.00 / $350.91	Professional		$233.07	$264.00	$350.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.59 / $574.19 / $1,328.96	Facility		$423.59	$574.19	$1,328.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.85 / $136.28 / $902.65	Professional		$105.85	$136.28	$902.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.79 / $293.38 / $433.51	Facility		$181.79	$293.38	$433.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.19 / $128.19 / $128.19	Professional		$128.19	$128.19	$128.19
United Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $146.69 / $249.37	Professional		$97.89	$146.69	$249.37