Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $43.59 / $265.02	Facility		$33.86	$43.59	$265.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.59 / $44.71 / $76.75	Professional		$43.59	$44.71	$76.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.07 / $229.14 / $384.81	Facility		$96.07	$229.14	$384.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $58.68 / $141.00	Professional		$55.89	$58.68	$141.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.58 / $162.03 / $325.41	Facility		$101.58	$162.03	$325.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $29.29 / $80.54	Professional		$25.31	$29.29	$80.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.92 / $62.21 / $105.41	Facility		$41.92	$62.21	$105.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $68.23 / $102.00	Professional		$65.48	$68.23	$102.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $30.74 / $44.26	Professional		$30.74	$30.74	$44.26
United Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $33.53 / $78.08	Professional		$23.47	$33.53	$78.08