Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.42 / $67.83 / $412.41	Facility		$46.42	$67.83	$412.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.83 / $67.83 / $75.66	Professional		$67.83	$67.83	$75.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.35 / $356.21 / $598.42	Facility		$149.35	$356.21	$598.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $92.00 / $219.00	Professional		$86.96	$92.00	$219.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.03 / $252.08 / $525.47	Facility		$158.03	$252.08	$525.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $61.26 / $124.93	Professional		$44.04	$61.26	$124.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.53 / $100.39 / $170.42	Facility		$67.53	$100.39	$170.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $119.52 / $124.52 / $158.00	Professional		$119.52	$124.52	$158.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $47.83 / $68.87	Professional		$47.83	$47.83	$68.87
United Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $52.18 / $121.46	Professional		$36.52	$52.18	$121.46