Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.21 / $748.21 / $748.21	Facility		$748.21	$748.21	$748.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.24 / $736.71 / $896.54	Professional		$84.24	$736.71	$896.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.02 / $2,785.50 / $4,720.53	Facility		$319.02	$2,785.50	$4,720.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.83 / $141.99 / $234.39	Professional		$137.83	$141.99	$234.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $803.63 / $803.63 / $803.63	Facility		$803.63	$803.63	$803.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.22 / $630.72 / $630.72	Professional		$258.22	$630.72	$630.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $189.44 / $264.14 / $905.33	Facility		$189.44	$264.14	$905.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $188.86 / $201.26 / $526.87	Professional		$188.86	$201.26	$526.87
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 $64.53 / $177.86 / $399.97	Professional		$64.53	$177.86	$399.97