Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.77 / $93.91 / $135.72	Facility		$87.77	$93.91	$135.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $91.73 / $98.11	Professional		$75.42	$91.73	$98.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.43 / $299.45 / $455.95	Facility		$162.43	$299.45	$455.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $84.83 / $127.25	Professional		$50.00	$84.83	$127.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.31 / $124.51 / $201.01	Professional		$93.31	$124.51	$201.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $128.83 / $208.35	Facility		$55.00	$128.83	$208.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.31 / $331.31 / $331.31	Professional		$331.31	$331.31	$331.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $71.34 / $108.14	Professional		$52.98	$71.34	$108.14
United Facility/Professional Professional Modifier Low / Median / High Price $83.56 / $111.73 / $205.04	Professional		$83.56	$111.73	$205.04