Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.33 / $194.95 / $210.00	Facility		$95.33	$194.95	$210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $95.33 / $128.44	Professional		$95.33	$95.33	$128.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $836.04 / $836.04 / $893.46	Facility		$836.04	$836.04	$893.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.22 / $134.00 / $178.11	Professional		$122.22	$134.00	$178.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.11 / $301.08 / $696.85	Facility		$222.11	$301.08	$696.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.96 / $71.73 / $206.35	Professional		$61.96	$71.73	$206.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.33 / $226.33 / $226.33	Facility		$95.33	$226.33	$226.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.22 / $67.22 / $67.22	Professional		$67.22	$67.22	$67.22
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $75.45 / $122.22	Professional		$51.33	$75.45	$122.22