Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.20 / $117.23 / $712.76	Facility		$105.20	$117.23	$712.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.23 / $120.23 / $206.39	Professional		$117.23	$120.23	$206.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $350.45 / $748.18 / $1,296.53	Facility		$350.45	$748.18	$1,296.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $205.52 / $348.81	Professional		$150.29	$205.52	$348.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.14 / $435.70 / $906.73	Facility		$273.14	$435.70	$906.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $103.13 / $282.81	Professional		$76.09	$103.13	$282.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $273.00 / $357.00	Facility		$120.23	$273.00	$357.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.66 / $82.66 / $82.66	Professional		$82.66	$82.66	$82.66
United Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $131.65 / $409.44	Professional		$90.17	$131.65	$409.44