Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.30 / $82.79 / $503.36	Facility		$74.30	$82.79	$503.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.79 / $82.79 / $92.34	Professional		$82.79	$82.79	$92.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.74 / $527.04 / $911.25	Facility		$190.74	$527.04	$911.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $106.14 / $162.00	Professional		$88.98	$106.14	$162.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.90 / $307.70 / $605.17	Facility		$192.90	$307.70	$605.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $48.48 / $152.29	Professional		$40.26	$48.48	$152.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.30 / $95.53 / $134.76	Facility		$74.30	$95.53	$134.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $92.22 / $117.00	Professional		$71.00	$92.22	$117.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $58.38 / $84.06	Professional		$58.38	$58.38	$84.06
United Facility/Professional Professional Modifier Low / Median / High Price $44.58 / $63.68 / $127.37	Professional		$44.58	$63.68	$127.37