Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.22 / $161.82 / $983.87	Facility		$145.22	$161.82	$983.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $161.82 / $180.49	Professional		$161.82	$161.82	$180.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,419.12 / $1,419.12 / $1,516.57	Facility		$1,419.12	$1,419.12	$1,516.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $122.63 / $236.86	Professional		$111.00	$122.63	$236.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.04 / $511.08 / $1,182.90	Facility		$377.04	$511.08	$1,182.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.15 / $131.44 / $803.76	Professional		$94.15	$131.44	$803.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.82 / $283.02 / $385.88	Facility		$161.82	$283.02	$385.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $114.10 / $114.10	Professional		$114.10	$114.10	$114.10
United Facility/Professional Professional Modifier Low / Median / High Price $87.13 / $141.16 / $240.58	Professional		$87.13	$141.16	$240.58