Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.41 / $146.41 / $645.89	Facility		$146.41	$146.41	$645.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.57 / $146.41 / $146.41	Professional		$122.57	$146.41	$146.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.75 / $720.72 / $1,702.51	Facility		$396.75	$720.72	$1,702.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.38 / $645.89 / $775.07	Professional		$568.38	$645.89	$775.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Facility		$570.54	$570.54	$570.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Professional		$570.54	$570.54	$570.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $146.41 / $181.56 / $684.65	Facility		$146.41	$181.56	$684.65
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 $645.89 / $645.89 / $645.89	Professional		$645.89	$645.89	$645.89