Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.00 / $246.00 / $994.58	Facility		$246.00	$246.00	$994.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.00 / $246.00 / $255.00	Professional		$246.00	$246.00	$255.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.62 / $266.00 / $551.01	Facility		$106.62	$266.00	$551.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.00 / $300.00 / $357.75	Professional		$264.00	$300.00	$357.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Professional		$255.00	$255.00	$255.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.76 / $246.00 / $305.04	Facility		$99.76	$246.00	$305.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $270.00	Professional		$54.00	$54.00	$270.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $246.00 / $246.00 / $307.50	Professional		$246.00	$246.00	$307.50
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $250.00 / $250.00	Professional		$100.00	$250.00	$250.00