Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.77 / $87.77 / $87.77	Facility		$87.77	$87.77	$87.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $87.77 / $94.40	Professional		$82.70	$87.77	$94.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $433.76 / $839.17 / $1,303.09	Facility		$433.76	$839.17	$1,303.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.73 / $723.86 / $1,127.00	Facility		$196.73	$723.86	$1,127.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.85 / $154.18 / $265.43	Professional		$113.85	$154.18	$265.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.40 / $187.64 / $322.08	Facility		$94.40	$187.64	$322.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $206.43 / $206.43 / $206.43	Professional		$206.43	$206.43	$206.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $77.63 / $116.44	Professional		$54.98	$77.63	$116.44
United Facility/Professional Professional Modifier Low / Median / High Price $109.92 / $198.40 / $401.25	Professional		$109.92	$198.40	$401.25