Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.40 / $149.76 / $910.54	Facility		$134.40	$149.76	$910.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.76 / $149.76 / $167.04	Professional		$149.76	$149.76	$167.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,182.03 / $1,182.03 / $1,263.21	Facility		$1,182.03	$1,182.03	$1,263.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $192.00 / $262.56	Professional		$192.00	$192.00	$262.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.38 / $389.38 / $1,094.75	Facility		$312.38	$389.38	$1,094.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $86.72 / $212.67	Professional		$38.13	$86.72	$212.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.67 / $83.67 / $268.80	Facility		$83.67	$83.67	$268.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $105.60 / $105.60	Professional		$105.60	$105.60	$105.60
United Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $80.64 / $174.84	Professional		$41.84	$80.64	$174.84