Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.79 / $239.86 / $239.86	Facility		$168.79	$239.86	$239.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $239.86 / $239.86	Professional		$143.47	$239.86	$239.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.36 / $114.09 / $141.16	Facility		$57.36	$114.09	$141.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.77 / $141.78 / $170.14	Professional		$124.77	$141.78	$170.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.38 / $263.38 / $263.38	Facility		$263.38	$263.38	$263.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.38 / $263.38 / $263.38	Professional		$263.38	$263.38	$263.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.40 / $239.86 / $323.81	Facility		$79.40	$239.86	$323.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.41 / $173.01 / $289.25	Professional		$138.41	$173.01	$289.25
United Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $258.68 / $282.19	Professional		$235.16	$258.68	$282.19