Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.75 / $304.75 / $1,232.09	Facility		$304.75	$304.75	$1,232.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.32 / $308.47 / $315.89	Professional		$297.32	$308.47	$315.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.49 / $282.68 / $471.06	Facility		$147.49	$282.68	$471.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.89 / $353.07 / $441.34	Professional		$315.89	$353.07	$441.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.72 / $321.72 / $321.72	Facility		$321.72	$321.72	$321.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $321.72 / $333.86	Professional		$321.72	$321.72	$333.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $191.19 / $426.65	Facility		$14.00	$191.19	$426.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.00 / $20.55	Professional		$10.00	$14.00	$20.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $304.75 / $304.75 / $380.93	Professional		$304.75	$304.75	$380.93
United Facility/Professional Professional Modifier Low / Median / High Price $263.25 / $328.29 / $372.89	Professional		$263.25	$328.29	$372.89