Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.87 / $673.30 / $994.50	Facility		$157.87	$673.30	$994.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.20 / $157.87 / $176.09	Professional		$101.20	$157.87	$176.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,246.06 / $1,246.06 / $1,331.64	Facility		$1,246.06	$1,246.06	$1,331.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $202.40 / $276.77	Professional		$190.00	$202.40	$276.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.84 / $498.61 / $1,154.04	Facility		$367.84	$498.61	$1,154.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.85 / $96.21 / $276.77	Professional		$91.85	$96.21	$276.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $157.87 / $202.40 / $293.48	Facility		$157.87	$202.40	$293.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.32 / $111.32 / $111.32	Professional		$111.32	$111.32	$111.32
United Facility/Professional Facility Modifier Low / Median / High Price $182.16 / $182.16 / $242.88	Facility		$182.16	$182.16	$242.88
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $101.20 / $184.31	Professional		$85.01	$101.20	$184.31