Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.10 / $373.10 / $373.10	Facility		$373.10	$373.10	$373.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.17 / $34.89 / $39.49	Professional		$29.17	$34.89	$39.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $404.96 / $797.83 / $1,553.57	Facility		$404.96	$797.83	$1,553.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $107.80 / $107.80	Professional		$107.80	$107.80	$107.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.81 / $64.81 / $64.81	Facility		$64.81	$64.81	$64.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $35.19 / $50.56	Professional		$35.19	$35.19	$50.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $37.75 / $69.43	Facility		$30.72	$37.75	$69.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.75 / $37.75 / $37.75	Professional		$37.75	$37.75	$37.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $180.88 / $3,000.00	Professional		$55.00	$180.88	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $41.95 / $67.73	Professional		$31.31	$41.95	$67.73