Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.33 / $97.33 / $97.33	Facility		$97.33	$97.33	$97.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.33 / $101.74 / $110.55	Professional		$97.33	$101.74	$110.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $976.26 / $976.26 / $976.26	Facility		$976.26	$976.26	$976.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.99 / $162.00 / $248.23	Professional		$123.99	$162.00	$248.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.49 / $204.11 / $429.21	Facility		$130.49	$204.11	$429.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.07 / $155.05 / $275.23	Professional		$113.07	$155.05	$275.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.57 / $165.46 / $216.98	Facility		$99.57	$165.46	$216.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.66 / $156.97 / $204.00	Professional		$53.66	$156.97	$204.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $74.90 / $112.13	Professional		$54.90	$74.90	$112.13
United Facility/Professional Professional Modifier Low / Median / High Price $110.70 / $137.00 / $241.50	Professional		$110.70	$137.00	$241.50