Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $1,212.90	Facility		$300.00	$300.00	$1,212.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $310.97	Professional		$300.00	$300.00	$310.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.69 / $681.06 / $1,208.65	Facility		$347.69	$681.06	$1,208.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.95 / $365.85 / $439.02	Professional		$321.95	$365.85	$439.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.97 / $310.97 / $310.97	Facility		$310.97	$310.97	$310.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $310.97 / $310.97	Professional		$310.97	$310.97	$310.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.15 / $300.00 / $405.00	Facility		$143.15	$300.00	$405.00
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 Professional Modifier Low / Median / High Price $304.88 / $304.88 / $304.88	Professional		$304.88	$304.88	$304.88