Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $95.50 / $302.00	Facility		$75.86	$95.50	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $194.98	Professional		$61.66	$93.33	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $281.84 / $537.03	Facility		$117.49	$281.84	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $131.83	Professional		$66.07	$107.15	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $120.23 / $144.54	Facility		$70.79	$120.23	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $194.98	Professional		$95.50	$120.23	$194.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $104.71 / $194.98	Facility		$67.61	$104.71	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $120.23	Facility		$109.65	$109.65	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $131.83	Professional		$74.13	$91.20	$131.83