Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.68 / $292.70 / $1,779.62	Facility		$262.68	$292.70	$1,779.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.70 / $292.70 / $326.47	Professional		$292.70	$292.70	$326.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,310.19 / $2,310.19 / $2,468.86	Facility		$2,310.19	$2,310.19	$2,468.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.00 / $336.96 / $513.15	Professional		$305.00	$336.96	$513.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $681.97 / $924.42 / $2,139.58	Facility		$681.97	$924.42	$2,139.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.31 / $178.39 / $513.16	Professional		$170.31	$178.39	$513.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $292.70 / $375.25 / $544.11	Facility		$292.70	$375.25	$544.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $206.39 / $206.39 / $206.39	Professional		$206.39	$206.39	$206.39
United Facility/Professional Facility Modifier Low / Median / High Price $337.73 / $375.25 / $375.25	Facility		$337.73	$375.25	$375.25
United Facility/Professional Professional Modifier Low / Median / High Price $157.61 / $214.04 / $341.71	Professional		$157.61	$214.04	$341.71