Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.80 / $100.07 / $547.58	Facility		$89.80	$100.07	$547.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $100.07 / $111.61	Professional		$67.98	$100.07	$111.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.35 / $165.47 / $937.81	Facility		$82.35	$165.47	$937.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $98.85 / $163.52	Professional		$93.00	$98.85	$163.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $316.05 / $731.50	Facility		$136.22	$316.05	$731.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $83.04 / $238.69	Professional		$65.08	$83.04	$238.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $135.09 / $186.02	Facility		$97.44	$135.09	$186.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $70.56 / $70.56	Professional		$70.56	$70.56	$70.56
United Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $87.29 / $130.94	Professional		$53.88	$87.29	$130.94