Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.40 / $360.40 / $432.00	Facility		$85.40	$360.40	$432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $87.59 / $704.02	Professional		$85.40	$87.59	$704.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.28 / $145.56 / $720.36	Facility		$99.28	$145.56	$720.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $117.00 / $153.41	Professional		$109.49	$117.00	$153.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.99 / $317.42 / $624.29	Facility		$198.99	$317.42	$624.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $56.66 / $156.94	Professional		$49.96	$56.66	$156.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.21 / $98.54 / $137.96	Facility		$83.21	$98.54	$137.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $110.40 / $115.04 / $115.04	Professional		$110.40	$115.04	$115.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.22 / $60.22 / $86.72	Professional		$60.22	$60.22	$86.72
United Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $65.69 / $131.38	Professional		$45.99	$65.69	$131.38