Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $234.00 / $1,422.72	Facility		$210.00	$234.00	$1,422.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $261.00	Professional		$234.00	$234.00	$261.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,846.93 / $1,846.93 / $1,973.77	Facility		$1,846.93	$1,846.93	$1,973.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $96.12 / $342.51	Professional		$87.00	$96.12	$342.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.23 / $608.40 / $1,710.54	Facility		$339.23	$608.40	$1,710.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.77 / $139.46 / $354.00	Professional		$40.77	$139.46	$354.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.60 / $87.60 / $420.00	Facility		$87.60	$87.60	$420.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $165.00 / $165.00	Professional		$165.00	$165.00	$165.00
United Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $270.00 / $360.00	Facility		$270.00	$270.00	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $126.00 / $240.00	Professional		$43.80	$126.00	$240.00