Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.43 / $227.00 / $304.95	Facility		$75.43	$227.00	$304.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $91.76 / $129.66	Professional		$66.95	$91.76	$129.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.22 / $261.20 / $517.09	Facility		$118.22	$261.20	$517.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $85.70 / $138.00	Professional		$66.00	$85.70	$138.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $144.41	Facility		$70.00	$70.00	$144.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.98 / $111.52 / $204.41	Professional		$94.98	$111.52	$204.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.43 / $109.12 / $164.42	Facility		$75.43	$109.12	$164.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $22.45 / $111.72	Professional		$19.43	$22.45	$111.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.22 / $114.44 / $183.61	Professional		$94.22	$114.44	$183.61
United Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $91.17 / $135.07	Professional		$74.90	$91.17	$135.07