Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.84 / $209.30 / $534.11	Facility		$99.84	$209.30	$534.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $142.63 / $179.71	Professional		$74.17	$142.63	$179.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.11 / $172.16 / $253.95	Facility		$120.11	$172.16	$253.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $143.00 / $251.44	Professional		$143.00	$143.00	$251.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.03 / $289.26 / $813.25	Facility		$168.03	$289.26	$813.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $114.03 / $206.57	Professional		$71.23	$114.03	$206.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $199.68	Facility		$142.63	$142.63	$199.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Professional		$142.63	$142.63	$142.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $78.45 / $78.45	Professional		$78.45	$78.45	$78.45
United Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $74.54 / $142.63	Professional		$66.69	$74.54	$142.63