Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.87 / $107.72 / $216.72	Facility		$58.87	$107.72	$216.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $79.84 / $130.28	Professional		$47.43	$79.84	$130.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.29 / $210.43 / $336.62	Facility		$108.29	$210.43	$336.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $66.00 / $115.00	Professional		$45.80	$66.00	$115.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.67 / $80.67 / $103.66	Facility		$80.67	$80.67	$103.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $91.00 / $172.69	Professional		$51.96	$91.00	$172.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.87 / $102.47 / $159.01	Facility		$58.87	$102.47	$159.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.54 / $71.36 / $110.76	Professional		$47.54	$71.36	$110.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $112.28 / $174.46	Professional		$82.31	$112.28	$174.46
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 $78.77 / $113.59 / $231.49	Professional		$78.77	$113.59	$231.49