Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.62 / $150.01 / $912.06	Facility		$134.62	$150.01	$912.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.01 / $150.01 / $238.73	Professional		$150.01	$150.01	$238.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,184.00 / $1,184.00 / $1,265.32	Facility		$1,184.00	$1,184.00	$1,265.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.32 / $192.32 / $263.00	Professional		$192.32	$192.32	$263.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $349.53 / $557.54 / $1,096.58	Facility		$349.53	$557.54	$1,096.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.87 / $112.51 / $497.07	Professional		$86.87	$112.51	$497.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $150.01 / $173.36 / $288.48	Facility		$150.01	$173.36	$288.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.78 / $105.78 / $105.78	Professional		$105.78	$105.78	$105.78
United Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $103.72 / $175.13	Professional		$80.77	$103.72	$175.13