Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.32 / $126.27 / $690.95	Facility		$113.32	$126.27	$690.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.27 / $126.27 / $140.84	Professional		$126.27	$126.27	$140.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.94 / $241.48 / $387.15	Facility		$116.94	$241.48	$387.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $161.88 / $221.37	Professional		$94.00	$161.88	$221.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.20 / $398.78 / $922.99	Facility		$294.20	$398.78	$922.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $73.12 / $232.31	Professional		$48.93	$73.12	$232.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.16 / $127.67 / $199.77	Facility		$83.16	$127.67	$199.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $103.16 / $131.00	Professional		$99.00	$103.16	$131.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.03 / $89.03 / $128.21	Professional		$89.03	$89.03	$128.21
United Facility/Professional Professional Modifier Low / Median / High Price $50.69 / $92.33 / $161.88	Professional		$50.69	$92.33	$161.88