Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.80 / $182.52 / $1,109.72	Facility		$163.80	$182.52	$1,109.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.52 / $182.52 / $203.58	Professional		$182.52	$182.52	$203.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,440.60 / $1,440.60 / $1,539.54	Facility		$1,440.60	$1,440.60	$1,539.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $74.02 / $267.16	Professional		$67.00	$74.02	$267.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.27 / $576.46 / $1,334.22	Facility		$425.27	$576.46	$1,334.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $108.75 / $276.39	Professional		$105.62	$108.75	$276.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $182.52 / $234.00 / $339.30	Facility		$182.52	$234.00	$339.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Professional		$128.69	$128.69	$128.69
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $133.47 / $213.08	Professional		$98.28	$133.47	$213.08