Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.08 / $147.82 / $898.75	Facility		$44.08	$147.82	$898.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.82 / $147.82 / $164.87	Professional		$147.82	$147.82	$164.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.39 / $219.87 / $360.75	Facility		$107.39	$219.87	$360.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $189.51 / $236.89	Professional		$93.00	$189.51	$236.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.25 / $416.81 / $1,080.53	Facility		$276.25	$416.81	$1,080.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $85.62 / $272.06	Professional		$32.72	$85.62	$272.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.05 / $109.60 / $198.99	Facility		$73.05	$109.60	$198.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $74.89 / $95.00	Professional		$58.00	$74.89	$95.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.23 / $104.23 / $150.09	Professional		$104.23	$104.23	$150.09
United Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $94.76 / $167.95	Professional		$36.79	$94.76	$167.95