Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.35 / $203.19 / $1,235.40	Facility		$182.35	$203.19	$1,235.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.19 / $203.19 / $226.64	Professional		$203.19	$203.19	$226.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.18 / $279.43 / $1,603.76	Facility		$154.18	$279.43	$1,603.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $260.50 / $356.23	Professional		$260.50	$260.50	$356.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.59 / $641.76 / $1,485.36	Facility		$173.59	$641.76	$1,485.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $165.63 / $594.25	Professional		$28.54	$165.63	$594.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $203.19 / $260.50 / $323.02	Facility		$203.19	$260.50	$323.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $260.50 / $373.75	Professional		$260.50	$260.50	$373.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.28 / $143.28 / $206.32	Professional		$143.28	$143.28	$206.32
United Facility/Professional Facility Modifier Low / Median / High Price $234.45 / $260.50 / $260.50	Facility		$234.45	$260.50	$260.50
United Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $156.30 / $260.50	Professional		$109.41	$156.30	$260.50