Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.90 / $214.62 / $300.62	Facility		$73.90	$214.62	$300.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.90 / $184.16 / $196.38	Professional		$73.90	$184.16	$196.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $628.01 / $628.01 / $671.15	Facility		$628.01	$628.01	$671.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $110.00 / $146.21	Professional		$94.74	$110.00	$146.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.18 / $233.39 / $540.17	Facility		$172.18	$233.39	$540.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $58.24 / $366.38	Professional		$43.08	$58.24	$366.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.90 / $125.25 / $162.94	Facility		$73.90	$125.25	$162.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.11 / $52.11 / $52.11	Professional		$52.11	$52.11	$52.11
United Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $56.84 / $94.74	Professional		$39.79	$56.84	$94.74