Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $169.82	Professional		$117.49	$147.91	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $630.96 / $1,122.02	Facility		$363.08	$630.96	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $173.78	Professional		$60.26	$134.90	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $208.93	Professional		$79.43	$131.83	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $151.36 / $208.93	Facility		$77.62	$151.36	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,949.84 / $2,570.40	Facility		$1,698.24	$1,949.84	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $199.53	Professional		$100.00	$128.82	$199.53