Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $147.08 / $894.25	Facility		$132.00	$147.08	$894.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.08 / $150.86 / $194.73	Professional		$147.08	$150.86	$194.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $676.86 / $1,186.73	Facility		$312.00	$676.86	$1,186.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.57 / $250.00 / $367.24	Professional		$188.57	$250.00	$367.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $342.71 / $546.66 / $1,137.85	Facility		$342.71	$546.66	$1,137.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.04 / $123.52 / $338.45	Professional		$91.04	$123.52	$338.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $150.86 / $327.00 / $497.00	Facility		$150.86	$327.00	$497.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $103.71 / $103.71	Professional		$103.71	$103.71	$103.71
United Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $157.47 / $489.78	Professional		$113.14	$157.47	$489.78