Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.55 / $195.61 / $1,189.31	Facility		$175.55	$195.61	$1,189.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.61 / $195.61 / $218.18	Professional		$195.61	$195.61	$218.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.85 / $32.35 / $59.48	Facility		$18.85	$32.35	$59.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.78 / $250.78 / $342.94	Professional		$250.78	$250.78	$342.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.78 / $727.02 / $1,429.92	Facility		$455.78	$727.02	$1,429.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $188.92 / $360.34	Professional		$113.28	$188.92	$360.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $175.55 / $225.70 / $368.73	Facility		$175.55	$225.70	$368.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $212.34 / $212.34	Professional		$3.86	$212.34	$212.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $198.62	Professional		$137.93	$137.93	$198.62
United Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $150.47 / $300.94	Professional		$105.33	$150.47	$300.94