Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $117.00 / $711.36	Facility		$105.00	$117.00	$711.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $117.00 / $130.50	Professional		$117.00	$117.00	$130.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $923.46 / $923.46 / $986.88	Facility		$923.46	$923.46	$986.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $150.00 / $205.13	Professional		$132.00	$150.00	$205.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.61 / $369.53 / $904.75	Facility		$272.61	$369.53	$904.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.65 / $69.81 / $177.20	Professional		$67.65	$69.81	$177.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $150.00 / $225.00	Facility		$117.00	$150.00	$225.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $82.50 / $82.50	Professional		$82.50	$82.50	$82.50
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $75.00 / $136.59	Professional		$63.00	$75.00	$136.59