Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.29 / $108.29 / $108.29	Facility		$108.29	$108.29	$108.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $114.55 / $128.47	Professional		$108.29	$114.55	$128.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $956.93 / $956.93 / $956.93	Facility		$956.93	$956.93	$956.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.63 / $169.00 / $244.81	Professional		$115.63	$169.00	$244.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $204.11 / $696.67	Facility		$148.80	$204.11	$696.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.01 / $166.52 / $305.10	Professional		$129.01	$166.52	$305.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.29 / $174.00 / $231.51	Facility		$108.29	$174.00	$231.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.13 / $150.00 / $217.00	Professional		$91.13	$150.00	$217.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.55 / $63.07	Professional		$32.34	$40.55	$63.07
United Facility/Professional Professional Modifier Low / Median / High Price $115.58 / $146.07 / $236.51	Professional		$115.58	$146.07	$236.51