Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $57.23 / $347.96	Facility		$51.36	$57.23	$347.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.23 / $57.23 / $63.83	Professional		$57.23	$57.23	$63.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $451.69 / $451.69 / $482.72	Facility		$451.69	$451.69	$482.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $73.37 / $100.33	Professional		$73.37	$73.37	$100.33
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 $33.53 / $35.95 / $103.42	Professional		$33.53	$35.95	$103.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.23 / $75.44 / $106.39	Facility		$57.23	$75.44	$106.39
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 / $41.85 / $66.81	Professional		$30.82	$41.85	$66.81