Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.89 / $255.00 / $933.15	Facility		$127.89	$255.00	$933.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.49 / $125.46 / $163.96	Professional		$111.49	$125.46	$163.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.00 / $1,121.58 / $1,198.60	Facility		$363.00	$1,121.58	$1,198.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $99.91 / $187.19	Professional		$94.00	$99.91	$187.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.97 / $403.90 / $934.83	Facility		$297.97	$403.90	$934.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $103.83 / $635.15	Professional		$74.45	$103.83	$635.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $127.89 / $223.69 / $282.01	Facility		$127.89	$223.69	$282.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.18 / $90.18 / $90.18	Professional		$90.18	$90.18	$90.18
United Facility/Professional Facility Modifier Low / Median / High Price $147.56 / $163.96 / $163.96	Facility		$147.56	$163.96	$163.96
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $100.66 / $167.77	Professional		$68.86	$100.66	$167.77