Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $112.20 / $263.03	Facility		$77.62	$112.20	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $154.88	Professional		$63.10	$91.20	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $257.04 / $457.09	Facility		$144.54	$257.04	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $128.82	Professional		$61.66	$91.20	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $100.00 / $117.49	Facility		$91.20	$100.00	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $181.97	Professional		$74.13	$112.20	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $223.87	Professional		$154.88	$154.88	$223.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $109.65 / $190.55	Facility		$70.79	$109.65	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,202.26 / $3,548.13	Facility		$354.81	$1,202.26	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $151.36	Professional		$60.26	$89.13	$151.36