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 / $89.26 / $99.55	Professional		$89.26	$89.26	$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 / $157.91	Professional		$114.43	$120.15	$157.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.97 / $281.89 / $652.46	Facility		$207.97	$281.89	$652.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $66.94 / $66.94	Professional		$66.94	$66.94	$66.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.26 / $114.43 / $144.18	Facility		$89.26	$114.43	$144.18
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 / $62.94	Professional		$62.94	$62.94	$62.94
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $68.66 / $114.43	Professional		$48.06	$68.66	$114.43