Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.31 / $166.37 / $1,011.53	Facility		$149.31	$166.37	$1,011.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.37 / $166.37 / $185.57	Professional		$166.37	$166.37	$185.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,313.17 / $1,313.17 / $1,403.36	Facility		$1,313.17	$1,313.17	$1,403.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $165.72 / $266.63	Professional		$150.00	$165.72	$266.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.67 / $525.48 / $1,216.24	Facility		$387.67	$525.48	$1,216.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.55 / $99.18 / $471.55	Professional		$70.55	$99.18	$471.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.71 / $151.71 / $312.68	Facility		$151.71	$151.71	$312.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.32 / $117.32 / $117.32	Professional		$117.32	$117.32	$117.32
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $106.20 / $213.30	Professional		$75.86	$106.20	$213.30