Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.85 / $179.26 / $491.19	Facility		$101.85	$179.26	$491.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.17 / $211.34 / $266.27	Professional		$183.17	$211.34	$266.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.72 / $182.98 / $296.24	Facility		$98.72	$182.98	$296.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.79 / $248.63 / $296.49	Professional		$218.79	$248.63	$296.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Facility		$232.20	$232.20	$232.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Professional		$232.20	$232.20	$232.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $211.34 / $248.63 / $285.31	Facility		$211.34	$248.63	$285.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.28 / $171.60 / $254.85	Professional		$137.28	$171.60	$254.85
United Facility/Professional Facility Modifier Low / Median / High Price $410.24 / $410.24 / $410.24	Facility		$410.24	$410.24	$410.24
United Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $238.42 / $248.78	Professional		$207.32	$238.42	$248.78