Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.65 / $187.60 / $295.27	Facility		$125.65	$187.60	$295.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $90.43 / $107.98	Professional		$74.09	$90.43	$107.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.54 / $258.39 / $456.60	Facility		$112.54	$258.39	$456.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $84.17 / $125.55	Professional		$52.00	$84.17	$125.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.52 / $406.10 / $534.71	Facility		$269.52	$406.10	$534.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $119.64 / $217.95	Professional		$77.95	$119.64	$217.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.89 / $115.12 / $259.38	Facility		$93.89	$115.12	$259.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $383.90 / $383.90 / $383.90	Professional		$383.90	$383.90	$383.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $80.55 / $129.73	Professional		$44.14	$80.55	$129.73
United Facility/Professional Facility Modifier Low / Median / High Price $108.97 / $108.97 / $123.98	Facility		$108.97	$108.97	$123.98
United Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $109.54 / $199.40	Professional		$81.31	$109.54	$199.40