Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.73 / $329.33 / $429.00	Facility		$81.73	$329.33	$429.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.40 / $634.40 / $634.40	Professional		$634.40	$634.40	$634.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.72 / $235.39 / $377.66	Facility		$124.72	$235.39	$377.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.82 / $129.82 / $138.29	Professional		$129.82	$129.82	$138.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.54 / $274.29 / $442.75	Facility		$229.54	$274.29	$442.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $136.00 / $136.00	Professional		$136.00	$136.00	$136.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $240.00	Facility		$80.00	$80.00	$240.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.92 / $47.92 / $47.92	Professional		$47.92	$47.92	$47.92