Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.82 / $80.34 / $488.47	Facility		$57.82	$80.34	$488.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $80.34 / $89.61	Professional		$80.34	$80.34	$89.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.35 / $421.65 / $708.61	Facility		$202.35	$421.65	$708.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $135.00 / $259.00	Professional		$103.00	$135.00	$259.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.19 / $298.60 / $622.27	Facility		$187.19	$298.60	$622.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.26 / $67.55 / $147.65	Professional		$52.26	$67.55	$147.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.34 / $118.94 / $201.39	Facility		$80.34	$118.94	$201.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $147.50 / $188.00	Professional		$141.60	$147.50	$188.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.65 / $56.65 / $81.58	Professional		$56.65	$56.65	$81.58
United Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $61.80 / $123.60	Professional		$43.26	$61.80	$123.60