Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.08 / $138.26 / $840.62	Facility		$124.08	$138.26	$840.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.26 / $138.26 / $177.76	Professional		$138.26	$138.26	$177.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,212.45 / $1,212.45 / $1,295.72	Facility		$1,212.45	$1,212.45	$1,295.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $177.25 / $242.39	Professional		$165.00	$177.25	$242.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $322.13 / $436.65 / $1,010.62	Facility		$322.13	$436.65	$1,010.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $112.32 / $685.86	Professional		$80.45	$112.32	$685.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.26 / $241.81 / $304.87	Facility		$138.26	$241.81	$304.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.49 / $97.49 / $97.49	Professional		$97.49	$97.49	$97.49
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $120.91 / $181.36	Professional		$74.45	$120.91	$181.36