Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.28 / $150.74 / $916.50	Facility		$135.28	$150.74	$916.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.74 / $150.74 / $177.52	Professional		$150.74	$150.74	$177.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.13 / $340.94 / $1,189.73	Facility		$188.13	$340.94	$1,189.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $197.00 / $295.07	Professional		$193.25	$197.00	$295.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.21 / $476.06 / $1,101.84	Facility		$351.21	$476.06	$1,101.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.69 / $91.68 / $613.57	Professional		$87.69	$91.68	$613.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $150.74 / $197.48 / $332.39	Facility		$150.74	$197.48	$332.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.29 / $106.29 / $106.29	Professional		$106.29	$106.29	$106.29
United Facility/Professional Facility Modifier Low / Median / High Price $173.93 / $173.93 / $231.90	Facility		$173.93	$173.93	$231.90
United Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $108.61 / $175.98	Professional		$81.17	$108.61	$175.98