Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.87 / $198.45 / $267.39	Facility		$94.87	$198.45	$267.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $94.87 / $167.03	Professional		$79.06	$94.87	$167.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.52 / $454.02 / $889.12	Facility		$250.52	$454.02	$889.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.63 / $166.00 / $220.65	Professional		$121.63	$166.00	$220.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.05 / $352.61 / $693.51	Facility		$221.05	$352.61	$693.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.63 / $78.78 / $226.78	Professional		$61.63	$78.78	$226.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.87 / $165.68 / $182.25	Facility		$94.87	$165.68	$182.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $66.90 / $66.90	Professional		$66.90	$66.90	$66.90
United Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $82.84 / $124.26	Professional		$51.08	$82.84	$124.26