Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.16 / $71.48 / $434.66	Facility		$64.16	$71.48	$434.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $71.48 / $73.33	Professional		$71.48	$71.48	$73.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.50 / $96.25 / $627.03	Facility		$93.50	$96.25	$627.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.66 / $91.66 / $125.35	Professional		$91.66	$91.66	$125.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.59 / $225.81 / $522.64	Facility		$166.59	$225.81	$522.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $59.58 / $59.58	Professional		$59.58	$59.58	$59.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.48 / $113.17 / $132.91	Facility		$71.48	$113.17	$132.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $50.41 / $50.41	Professional		$50.41	$50.41	$50.41
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $56.59 / $91.66	Professional		$38.50	$56.59	$91.66