Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $497.29	Facility		$123.00	$123.00	$497.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $127.50 / $127.50	Professional		$123.00	$127.50	$127.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.62 / $367.65 / $619.96	Facility		$200.62	$367.65	$619.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $150.00 / $180.00	Professional		$132.00	$150.00	$180.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $147.60 / $166.05	Facility		$123.00	$147.60	$166.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $504.82 / $504.82 / $504.82	Professional		$504.82	$504.82	$504.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $153.75	Professional		$123.00	$123.00	$153.75
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Professional		$125.00	$125.00	$125.00