Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $1,778.28	Facility		$162.18	$162.18	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $165.96	Professional		$144.54	$162.18	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $204.17 / $380.19	Facility		$102.33	$204.17	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $173.78 / $204.17	Professional		$162.18	$173.78	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $173.78 / $407.38	Facility		$144.54	$173.78	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $141.25	Facility		$109.65	$109.65	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $165.96 / $181.97	Professional		$144.54	$165.96	$181.97