Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.20 / $215.20 / $215.20	Facility		$215.20	$215.20	$215.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $215.20 / $420.53	Professional		$204.96	$215.20	$420.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,120.30 / $1,120.30 / $1,120.30	Facility		$1,120.30	$1,120.30	$1,120.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $822.90 / $1,330.98	Professional		$204.96	$822.90	$1,330.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.35 / $204.96 / $204.96	Facility		$193.35	$204.96	$204.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $204.96	Professional		$204.96	$204.96	$204.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $215.20 / $567.72 / $1,192.29	Facility		$215.20	$567.72	$1,192.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $693.12 / $693.12 / $693.12	Professional		$693.12	$693.12	$693.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $215.20 / $276.07 / $341.81	Professional		$215.20	$276.07	$341.81
United Facility/Professional Professional Modifier Low / Median / High Price $188.56 / $204.96 / $225.46	Professional		$188.56	$204.96	$225.46