Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $288.40 / $288.40	Facility		$213.80	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $380.19	Professional		$204.17	$204.17	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $776.25 / $1,318.26	Professional		$117.49	$776.25	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $204.17 / $204.17	Facility		$194.98	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $245.47 / $1,258.93	Facility		$204.17	$245.47	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $263.03 / $1,047.13	Professional		$125.89	$263.03	$1,047.13