Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,202.26 / $2,398.83	Facility		$302.00	$1,202.26	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $416.87	Professional		$295.12	$302.00	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $549.54 / $1,000.00	Facility		$112.20	$549.54	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $117.49 / $141.25	Professional		$112.20	$117.49	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $338.84 / $407.38	Facility		$95.50	$338.84	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $309.03 / $380.19	Professional		$30.20	$309.03	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $199.53 / $426.58	Facility		$186.21	$199.53	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $331.13	Professional		$295.12	$295.12	$331.13