Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.23 / $334.58 / $988.55	Facility		$57.23	$334.58	$988.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $62.81 / $150.25	Professional		$52.64	$62.81	$150.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.41 / $198.12 / $482.72	Facility		$75.41	$198.12	$482.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $79.00 / $105.01	Professional		$73.37	$79.00	$105.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.34 / $180.75 / $418.34	Facility		$133.34	$180.75	$418.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.38 / $38.77 / $259.63	Professional		$33.38	$38.77	$259.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.23 / $83.37 / $126.20	Facility		$57.23	$83.37	$126.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $40.35 / $40.35	Professional		$40.35	$40.35	$40.35
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $44.02 / $70.86	Professional		$30.82	$44.02	$70.86