Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.86 / $129.10 / $784.93	Facility		$115.86	$129.10	$784.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.10 / $129.10 / $143.99	Professional		$129.10	$129.10	$143.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.74 / $338.43 / $1,088.92	Facility		$186.74	$338.43	$1,088.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $165.51 / $226.33	Professional		$150.00	$165.51	$226.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.79 / $407.73 / $943.69	Facility		$300.79	$407.73	$943.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $77.04 / $515.92	Professional		$75.08	$77.04	$515.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $129.10 / $165.92 / $284.68	Facility		$129.10	$165.92	$284.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.03 / $91.03 / $91.03	Professional		$91.03	$91.03	$91.03
United Facility/Professional Facility Modifier Low / Median / High Price $148.96 / $148.96 / $198.61	Facility		$148.96	$148.96	$198.61
United Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $94.40 / $165.51	Professional		$69.51	$94.40	$165.51