Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.72 / $121.69 / $286.75	Facility		$87.72	$121.69	$286.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $93.55 / $121.69	Professional		$69.55	$93.55	$121.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.47 / $277.79 / $447.41	Facility		$145.47	$277.79	$447.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.23 / $165.28	Professional		$74.13	$100.23	$165.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.67 / $100.00 / $130.86	Facility		$94.67	$100.00	$130.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.82 / $118.34 / $213.06	Professional		$83.82	$118.34	$213.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.53 / $121.69 / $194.58	Facility		$84.53	$121.69	$194.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $88.39 / $88.39	Professional		$88.39	$88.39	$88.39
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 $358.00 / $1,134.00 / $2,922.00	Facility		$358.00	$1,134.00	$2,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $111.22 / $242.42	Professional		$85.03	$111.22	$242.42