Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.95 / $206.80 / $421.04	Facility		$89.95	$206.80	$421.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $61.44 / $89.21	Professional		$33.14	$61.44	$89.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.62 / $121.54 / $202.92	Facility		$48.62	$121.54	$202.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $21.83 / $98.46	Professional		$11.00	$21.83	$98.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.16 / $194.05 / $449.13	Facility		$143.16	$194.05	$449.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $35.99 / $179.75	Professional		$17.78	$35.99	$179.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.39 / $55.51 / $82.71	Facility		$39.39	$55.51	$82.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $40.65 / $52.00	Professional		$31.00	$40.65	$52.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $43.32 / $62.39	Professional		$43.32	$43.32	$62.39
United Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $39.39 / $78.77	Professional		$19.51	$39.39	$78.77