Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.02 / $150.02 / $150.02	Facility		$150.02	$150.02	$150.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.12 / $150.02 / $157.59	Professional		$131.12	$150.02	$157.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.88 / $656.82 / $1,102.64	Facility		$352.88	$656.82	$1,102.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $77.91 / $160.52	Professional		$60.00	$77.91	$160.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $349.63 / $349.63 / $349.63	Facility		$349.63	$349.63	$349.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $130.91 / $210.49	Professional		$78.73	$130.91	$210.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $127.52 / $188.19	Facility		$70.00	$127.52	$188.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.83 / $128.99 / $174.79	Professional		$101.83	$128.99	$174.79
United Facility/Professional Professional Modifier Low / Median / High Price $99.64 / $131.02 / $199.66	Professional		$99.64	$131.02	$199.66