Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $128.82 / $3,548.13	Facility		$104.71	$128.82	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $4,786.30	Professional		$97.72	$102.33	$4,786.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $407.38 / $676.08	Facility		$218.78	$407.38	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $169.82 / $257.04	Professional		$83.18	$169.82	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $100.00 / $100.00	Facility		$93.33	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $125.89 / $389.05	Facility		$104.71	$125.89	$389.05
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 Facility Modifier Low / Median / High Price $100.00 / $112.20 / $213.80	Facility		$100.00	$112.20	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $123.03	Professional		$100.00	$104.71	$123.03