Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.56 / $192.29 / $1,169.11	Facility		$172.56	$192.29	$1,169.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.29 / $192.29 / $214.47	Professional		$192.29	$192.29	$214.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,517.68 / $1,517.68 / $1,621.91	Facility		$1,517.68	$1,517.68	$1,621.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $176.77 / $289.95	Professional		$160.00	$176.77	$289.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.03 / $607.30 / $1,405.63	Facility		$448.03	$607.30	$1,405.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.85 / $114.81 / $767.80	Professional		$111.85	$114.81	$767.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $192.29 / $247.14 / $424.01	Facility		$192.29	$247.14	$424.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.59 / $135.59 / $135.59	Professional		$135.59	$135.59	$135.59
United Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $147.91 / $224.48	Professional		$103.54	$147.91	$224.48