Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.37 / $136.35 / $829.01	Facility		$122.37	$136.35	$829.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.35 / $136.35 / $152.08	Professional		$136.35	$136.35	$152.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,076.20 / $1,076.20 / $1,150.11	Facility		$1,076.20	$1,076.20	$1,150.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $204.00 / $267.51	Professional		$174.81	$204.00	$267.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.70 / $430.66 / $996.76	Facility		$317.70	$430.66	$996.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.39 / $81.37 / $543.66	Professional		$79.39	$81.37	$543.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $136.35 / $175.08 / $300.67	Facility		$136.35	$175.08	$300.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $96.15 / $96.15	Professional		$96.15	$96.15	$96.15
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $99.71 / $174.81	Professional		$73.42	$99.71	$174.81