Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.69 / $993.65 / $1,055.60	Facility		$46.69	$993.65	$1,055.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $52.03 / $58.03	Professional		$52.03	$52.03	$58.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.56 / $273.23 / $459.00	Facility		$114.56	$273.23	$459.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $68.00 / $168.00	Professional		$66.70	$68.00	$168.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.23 / $193.39 / $402.99	Facility		$121.23	$193.39	$402.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $50.90 / $95.51	Professional		$33.85	$50.90	$95.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.03 / $77.04 / $132.72	Facility		$52.03	$77.04	$132.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.72 / $95.52 / $122.00	Professional		$91.72	$95.52	$122.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $52.83	Professional		$36.69	$36.69	$52.83
United Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $40.02 / $93.16	Professional		$28.01	$40.02	$93.16