Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $89.26 / $542.70	Facility		$80.09	$89.26	$542.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.26 / $91.54 / $99.55	Professional		$89.26	$91.54	$99.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $704.48 / $704.48 / $752.86	Facility		$704.48	$704.48	$752.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $120.15 / $156.47	Professional		$114.43	$120.15	$156.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.97 / $331.73 / $652.46	Facility		$207.97	$331.73	$652.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $131.75 / $164.68	Professional		$66.94	$131.75	$164.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.82 / $102.99 / $151.74	Facility		$85.82	$102.99	$151.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $114.43 / $114.43	Professional		$114.43	$114.43	$114.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.94 / $62.94 / $90.63	Professional		$62.94	$62.94	$90.63
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $68.66 / $137.32	Professional		$48.06	$68.66	$137.32