Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.80 / $394.41 / $621.41	Facility		$261.80	$394.41	$621.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $98.65 / $316.73	Professional		$89.12	$98.65	$316.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.30 / $214.50 / $377.66	Facility		$90.30	$214.50	$377.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $123.00 / $156.94	Professional		$100.90	$123.00	$156.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.39 / $394.61 / $452.91	Facility		$264.39	$394.61	$452.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.98 / $152.79 / $281.64	Professional		$102.98	$152.79	$281.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.64 / $152.00 / $293.47	Facility		$98.64	$152.00	$293.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $412.49 / $412.49 / $412.49	Professional		$412.49	$412.49	$412.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $120.39 / $186.97	Professional		$44.14	$120.39	$186.97
United Facility/Professional Facility Modifier Low / Median / High Price $80.90 / $80.90 / $100.78	Facility		$80.90	$80.90	$100.78
United Facility/Professional Professional Modifier Low / Median / High Price $108.83 / $139.49 / $234.61	Professional		$108.83	$139.49	$234.61