Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.67 / $246.00 / $290.70	Facility		$101.67	$246.00	$290.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.67 / $113.40 / $118.18	Professional		$101.67	$113.40	$118.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $839.73 / $891.64 / $952.87	Facility		$839.73	$891.64	$952.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $130.35 / $178.25	Professional		$96.15	$130.35	$178.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.91 / $377.90 / $786.23	Facility		$236.91	$377.90	$786.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $86.10 / $255.34	Professional		$66.06	$86.10	$255.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.67 / $125.00 / $217.25	Facility		$101.67	$125.00	$217.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $71.69 / $71.69	Professional		$71.69	$71.69	$71.69
United Facility/Professional Professional Modifier Low / Median / High Price $48.23 / $65.18 / $130.35	Professional		$48.23	$65.18	$130.35