Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.00 / $222.32 / $1,351.71	Facility		$67.00	$222.32	$1,351.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.32 / $222.32 / $247.98	Professional		$222.32	$222.32	$247.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.19 / $413.90 / $697.82	Facility		$207.19	$413.90	$697.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $285.02 / $356.29	Professional		$149.00	$285.02	$356.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $518.01 / $702.17 / $1,625.19	Facility		$518.01	$702.17	$1,625.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.52 / $128.75 / $409.39	Professional		$62.52	$128.75	$409.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.76 / $197.82 / $299.27	Facility		$116.76	$197.82	$299.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $144.85 / $184.00	Professional		$139.00	$144.85	$184.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.77 / $156.77 / $225.74	Professional		$156.77	$156.77	$225.74
United Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $142.52 / $285.02	Professional		$69.50	$142.52	$285.02