Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.59 / $399.57 / $621.48	Facility		$214.59	$399.57	$621.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.96 / $136.96 / $136.96	Facility		$136.96	$136.96	$136.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $95.00 / $228.00	Professional		$91.30	$95.00	$228.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $16.00 / $693.00	Facility		$16.00	$16.00	$693.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,138.00 / $3,585.00	Facility		$100.00	$1,138.00	$3,585.00