Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.98 / $298.89 / $651.60	Facility		$112.98	$298.89	$651.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $112.98 / $118.16	Professional		$104.70	$112.98	$118.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $990.75 / $1,058.80	Facility		$351.00	$990.75	$1,058.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $99.91 / $170.36	Professional		$94.00	$99.91	$170.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.24 / $356.83 / $825.88	Facility		$263.24	$356.83	$825.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $91.85 / $560.35	Professional		$65.69	$91.85	$560.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.98 / $197.59 / $249.12	Facility		$112.98	$197.59	$249.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.66 / $79.66 / $79.66	Professional		$79.66	$79.66	$79.66
United Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $98.55 / $148.19	Professional		$60.83	$98.55	$148.19