Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.22 / $135.07 / $821.23	Facility		$121.22	$135.07	$821.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.07 / $135.07 / $150.66	Professional		$135.07	$135.07	$150.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.28 / $917.99 / $1,525.97	Facility		$448.28	$917.99	$1,525.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $203.68 / $360.61	Professional		$173.17	$203.68	$360.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.72 / $502.02 / $1,045.01	Facility		$314.72	$502.02	$1,045.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.76 / $118.88 / $326.00	Professional		$87.76	$118.88	$326.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.54 / $315.00 / $326.64	Facility		$138.54	$315.00	$326.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.24 / $95.24 / $95.24	Professional		$95.24	$95.24	$95.24
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $151.69 / $387.14	Professional		$103.90	$151.69	$387.14