Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.52 / $112.12 / $264.52	Facility		$78.52	$112.12	$264.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.69 / $87.72 / $115.30	Professional		$63.69	$87.72	$115.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.82 / $277.79 / $443.57	Facility		$149.82	$277.79	$443.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.14 / $92.84 / $145.76	Professional		$66.14	$92.84	$145.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.97 / $100.00 / $116.71	Facility		$90.97	$100.00	$116.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.26 / $113.47 / $193.49	Professional		$76.26	$113.47	$193.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.45 / $112.12 / $182.03	Facility		$77.45	$112.12	$182.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $84.56 / $84.56	Professional		$84.56	$84.56	$84.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.07 / $172.70	Professional		$82.31	$112.07	$172.70
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $103.41 / $225.22	Professional		$79.20	$103.41	$225.22