Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.41 / $87.38 / $531.27	Facility		$78.41	$87.38	$531.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $89.62 / $97.46	Professional		$87.38	$89.62	$97.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $117.62 / $153.19	Professional		$112.02	$117.62	$153.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $324.73 / $638.69	Facility		$203.58	$324.73	$638.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $128.44 / $160.55	Professional		$128.44	$128.44	$160.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.02 / $96.34 / $148.55	Facility		$84.02	$96.34	$148.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.02 / $112.02 / $112.02	Professional		$112.02	$112.02	$112.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $67.20 / $134.41	Professional		$47.05	$67.20	$134.41