Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.09 / $553.87 / $1,556.16	Facility		$170.09	$553.87	$1,556.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.09 / $174.45 / $299.45	Professional		$170.09	$174.45	$299.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $49.79 / $1,560.20	Facility		$28.00	$49.79	$1,560.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $163.69 / $272.58	Professional		$154.00	$163.69	$272.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.31 / $537.19 / $1,243.33	Facility		$396.31	$537.19	$1,243.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $146.68 / $408.41	Professional		$108.13	$146.68	$408.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $149.10 / $246.43 / $352.04	Facility		$149.10	$246.43	$352.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.93 / $119.93 / $119.93	Professional		$119.93	$119.93	$119.93
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $145.22 / $218.06	Professional		$91.59	$145.22	$218.06