Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.37 / $136.35 / $829.01	Facility		$122.37	$136.35	$829.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.35 / $136.35 / $152.08	Professional		$136.35	$136.35	$152.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,076.20 / $1,076.20 / $1,150.11	Facility		$1,076.20	$1,076.20	$1,150.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $174.81 / $239.05	Professional		$174.81	$174.81	$239.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.70 / $430.66 / $996.76	Facility		$317.70	$430.66	$996.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.40 / $83.20 / $239.34	Professional		$79.40	$83.20	$239.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $136.35 / $174.81 / $253.47	Facility		$136.35	$174.81	$253.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $96.15 / $96.15	Professional		$96.15	$96.15	$96.15
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $96.15 / $159.18	Professional		$73.42	$96.15	$159.18