Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.80 / $276.14 / $510.90	Facility		$62.80	$276.14	$510.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $51.53 / $77.29	Professional		$50.24	$51.53	$77.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.47 / $320.81 / $561.34	Facility		$161.47	$320.81	$561.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $212.00 / $256.54	Professional		$64.41	$212.00	$256.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.07 / $186.74 / $389.16	Facility		$117.07	$186.74	$389.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $40.33 / $92.41	Professional		$32.70	$40.33	$92.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $67.81 / $119.60	Facility		$48.31	$67.81	$119.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $88.54 / $109.00	Professional		$71.00	$88.54	$109.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $35.43 / $51.01	Professional		$35.43	$35.43	$51.01
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $40.97 / $123.54	Professional		$27.05	$40.97	$123.54