Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $52.42 / $318.70	Facility		$47.05	$52.42	$318.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $52.42 / $58.47	Professional		$52.42	$52.42	$58.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.36 / $275.14 / $462.41	Facility		$115.36	$275.14	$462.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $76.00 / $169.00	Professional		$67.20	$76.00	$169.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.16 / $194.86 / $404.97	Facility		$122.16	$194.86	$404.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $39.11 / $96.54	Professional		$33.86	$39.11	$96.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $77.62 / $126.93	Facility		$52.42	$77.62	$126.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.60 / $93.36 / $123.00	Professional		$89.60	$93.36	$123.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $36.97 / $53.23	Professional		$36.97	$36.97	$53.23
United Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $45.74 / $93.88	Professional		$28.23	$45.74	$93.88