Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.64 / $313.64 / $313.64	Facility		$313.64	$313.64	$313.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $288.13 / $313.64	Professional		$165.60	$288.13	$313.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $386.91 / $717.31 / $1,127.66	Facility		$386.91	$717.31	$1,127.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $248.58 / $400.21	Professional		$225.00	$248.58	$400.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.38 / $353.38 / $469.96	Facility		$353.38	$353.38	$469.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.37 / $401.53 / $659.54	Professional		$285.37	$401.53	$659.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.00 / $326.14 / $475.62	Facility		$208.00	$326.14	$475.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $326.14 / $326.14	Professional		$250.00	$326.14	$326.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.48 / $199.04 / $261.24	Professional		$97.48	$199.04	$261.24
United Facility/Professional Professional Modifier Low / Median / High Price $237.05 / $294.58 / $471.77	Professional		$237.05	$294.58	$471.77