Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.73 / $105.33 / $640.41	Facility		$55.73	$105.33	$640.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $105.33 / $105.33	Professional		$105.33	$105.33	$105.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.61 / $99.18 / $141.88	Facility		$79.61	$99.18	$141.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $79.61 / $108.87	Professional		$76.00	$79.61	$108.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.79 / $161.46 / $453.95	Facility		$93.79	$161.46	$453.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $105.33 / $114.35	Professional		$91.48	$105.33	$114.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.71 / $105.33 / $126.40	Facility		$59.71	$105.33	$126.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $97.79 / $97.79	Professional		$79.61	$97.79	$97.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $43.79 / $63.05	Professional		$43.79	$43.79	$63.05
United Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $57.52 / $114.70	Professional		$40.14	$57.52	$114.70