Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.25 / $918.00 / $1,912.16	Facility		$593.25	$918.00	$1,912.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $252.53 / $281.66	Professional		$161.88	$252.53	$281.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.28 / $176.52 / $2,130.02	Facility		$99.28	$176.52	$2,130.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $204.08 / $381.08	Professional		$192.00	$204.08	$381.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.39 / $670.36 / $1,845.98	Facility		$588.39	$670.36	$1,845.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.37 / $147.58 / $737.90	Professional		$79.37	$147.58	$737.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.88 / $252.53 / $339.94	Facility		$161.88	$252.53	$339.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.14 / $174.40 / $190.45	Professional		$173.14	$174.40	$190.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.06 / $178.06 / $256.41	Professional		$178.06	$178.06	$256.41
United Facility/Professional Facility Modifier Low / Median / High Price $291.38 / $291.38 / $388.50	Facility		$291.38	$291.38	$388.50
United Facility/Professional Professional Modifier Low / Median / High Price $87.20 / $161.88 / $323.75	Professional		$87.20	$161.88	$323.75