Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.23 / $117.26 / $712.94	Facility		$105.23	$117.26	$712.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $117.26 / $130.79	Professional		$99.97	$117.26	$130.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.52 / $454.02 / $989.06	Facility		$250.52	$454.02	$989.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $150.33 / $207.46	Professional		$145.00	$150.33	$207.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $370.32 / $857.11	Facility		$273.20	$370.32	$857.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $69.98 / $177.60	Professional		$67.81	$69.98	$177.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.26 / $150.33 / $217.98	Facility		$117.26	$150.33	$217.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.68 / $82.68 / $82.68	Professional		$82.68	$82.68	$82.68
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $82.68 / $136.88	Professional		$63.14	$82.68	$136.88