Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.00 / $93.60 / $569.09	Facility		$84.00	$93.60	$569.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $93.60 / $104.40	Professional		$93.60	$93.60	$104.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.77 / $738.77 / $789.51	Facility		$738.77	$738.77	$789.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $250.00 / $321.70	Professional		$120.00	$250.00	$321.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.09 / $295.62 / $684.22	Facility		$218.09	$295.62	$684.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $70.20 / $141.60	Professional		$54.46	$70.20	$141.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $120.00 / $174.00	Facility		$93.60	$120.00	$174.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $72.00 / $109.27	Professional		$50.40	$72.00	$109.27