Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.96 / $120.96 / $489.04	Facility		$120.96	$120.96	$489.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.96 / $120.96 / $150.30	Professional		$120.96	$120.96	$150.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $359.13 / $529.28 / $765.87	Facility		$359.13	$529.28	$765.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.73 / $348.56 / $418.27	Professional		$306.73	$348.56	$418.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Facility		$128.69	$128.69	$128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Professional		$128.69	$128.69	$128.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.96 / $244.80 / $383.42	Facility		$120.96	$244.80	$383.42
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 $259.31 / $259.31 / $259.31	Professional		$259.31	$259.31	$259.31