Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.05 / $75.83 / $461.05	Facility		$68.05	$75.83	$461.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $75.83 / $84.58	Professional		$75.83	$75.83	$84.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.53 / $598.53 / $639.64	Facility		$598.53	$598.53	$639.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $93.91 / $132.94	Professional		$85.00	$93.91	$132.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.68 / $239.49 / $554.29	Facility		$176.68	$239.49	$554.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $61.82 / $114.80	Professional		$44.15	$61.82	$114.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.83 / $97.22 / $140.97	Facility		$75.83	$97.22	$140.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $53.47 / $53.47	Professional		$53.47	$53.47	$53.47
United Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $53.47 / $97.22	Professional		$40.83	$53.47	$97.22