Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.45 / $139.97 / $389.88	Facility		$107.45	$139.97	$389.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.73 / $157.34 / $175.00	Professional		$119.73	$157.34	$175.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $945.02 / $945.02 / $1,009.92	Facility		$945.02	$945.02	$1,009.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $62.48 / $180.55	Professional		$59.50	$62.48	$180.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.77 / $311.31 / $875.27	Facility		$272.77	$311.31	$875.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.01 / $112.22 / $349.65	Professional		$70.01	$112.22	$349.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.45 / $138.15 / $175.00	Facility		$107.45	$138.15	$175.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $153.50 / $153.50 / $153.50	Professional		$153.50	$153.50	$153.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.43 / $84.43 / $121.57	Professional		$84.43	$84.43	$121.57
United Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $92.10 / $184.20	Professional		$64.47	$92.10	$184.20