Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $131.83 / $190.55	Facility		$45.71	$131.83	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $104.71 / $169.82	Professional		$42.66	$104.71	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $331.13 / $660.69	Facility		$158.49	$331.13	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $70.79 / $144.54	Professional		$38.02	$70.79	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $1,412.54	Facility		$70.79	$70.79	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $120.23 / $245.47	Professional		$47.86	$120.23	$245.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $190.55 / $218.78	Professional		$186.21	$190.55	$218.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $114.82 / $229.09	Facility		$44.67	$114.82	$229.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
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 $891.25 / $1,023.29 / $1,348.96	Facility		$891.25	$1,023.29	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $95.50 / $173.78	Professional		$39.81	$95.50	$173.78