Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.98 / $401.10 / $470.77	Facility		$89.98	$401.10	$470.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $89.98 / $160.30	Professional		$89.98	$89.98	$160.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.34 / $202.79 / $789.07	Facility		$80.34	$202.79	$789.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $138.82 / $170.34	Professional		$115.36	$138.82	$170.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.64 / $334.41 / $657.72	Facility		$209.64	$334.41	$657.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $72.17 / $165.72	Professional		$15.14	$72.17	$165.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.75 / $109.59 / $187.81	Facility		$84.75	$109.59	$187.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $89.47 / $165.22	Professional		$81.34	$89.47	$165.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.45 / $63.45 / $91.37	Professional		$63.45	$63.45	$91.37
United Facility/Professional Facility Modifier Low / Median / High Price $115.36 / $115.36 / $115.36	Facility		$115.36	$115.36	$115.36
United Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $78.48 / $165.22	Professional		$48.45	$78.48	$165.22