Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $129.18 / $785.41	Facility		$43.50	$129.18	$785.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.18 / $129.18 / $144.08	Professional		$129.18	$129.18	$144.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.93 / $441.19 / $710.04	Facility		$212.93	$441.19	$710.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.61 / $204.00 / $259.00	Professional		$165.61	$204.00	$259.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.99 / $480.12 / $999.58	Facility		$300.99	$480.12	$999.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $99.36 / $237.99	Professional		$75.59	$99.36	$237.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.93 / $149.05 / $266.56	Facility		$115.93	$149.05	$266.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.38 / $151.91 / $187.00	Professional		$147.38	$151.91	$187.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.09 / $91.09 / $131.16	Professional		$91.09	$91.09	$131.16
United Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $99.37 / $188.73	Professional		$69.56	$99.37	$188.73