Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.80 / $557.10 / $1,804.55	Facility		$112.80	$557.10	$1,804.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.12 / $115.69 / $133.25	Professional		$104.12	$115.69	$133.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.64 / $393.33 / $794.48	Facility		$167.64	$393.33	$794.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.61 / $165.72 / $300.00	Professional		$144.61	$165.72	$300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.82 / $419.24 / $873.15	Facility		$262.82	$419.24	$873.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.03 / $87.48 / $240.00	Professional		$67.03	$87.48	$240.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.69 / $227.00 / $268.97	Facility		$115.69	$227.00	$268.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.54 / $79.54 / $79.54	Professional		$79.54	$79.54	$79.54
United Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $108.46 / $289.22	Professional		$86.77	$108.46	$289.22