Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $93.33 / $154.88	Facility		$87.10	$93.33	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $173.78	Professional		$85.11	$97.72	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $275.42 / $467.74	Facility		$162.18	$275.42	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $91.20 / $131.83	Professional		$50.12	$91.20	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $177.83	Professional		$89.13	$123.03	$177.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $131.83 / $213.80	Facility		$89.13	$131.83	$213.80
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 $91.20 / $91.20 / $100.00	Facility		$91.20	$91.20	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $169.82	Professional		$75.86	$104.71	$169.82