Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.67 / $169.67 / $685.98	Facility		$169.67	$169.67	$685.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.41 / $169.67 / $197.32	Professional		$150.41	$169.67	$197.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $341.18 / $638.91 / $1,218.45	Facility		$341.18	$638.91	$1,218.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $115.26 / $194.08	Professional		$63.00	$115.26	$194.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.27 / $1,033.26 / $1,920.76	Facility		$188.27	$1,033.26	$1,920.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.50 / $219.16 / $399.68	Professional		$166.50	$219.16	$399.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.00 / $196.00 / $325.58	Facility		$74.00	$196.00	$325.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $265.00 / $455.36	Professional		$90.00	$265.00	$455.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.06 / $184.57 / $287.30	Professional		$137.06	$184.57	$287.30
United Facility/Professional Professional Modifier Low / Median / High Price $144.32 / $176.07 / $269.69	Professional		$144.32	$176.07	$269.69