Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.25 / $267.25 / $1,080.49	Facility		$267.25	$267.25	$1,080.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.12 / $267.25 / $267.25	Professional		$261.12	$267.25	$267.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.63 / $295.39 / $474.24	Facility		$171.63	$295.39	$474.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.81 / $325.92 / $391.10	Professional		$286.81	$325.92	$391.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Facility		$277.02	$277.02	$277.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Professional		$277.02	$277.02	$277.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $267.25 / $320.70 / $360.79	Facility		$267.25	$320.70	$360.79
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 $271.60 / $271.60 / $271.60	Professional		$271.60	$271.60	$271.60