Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.65 / $133.85 / $188.61	Facility		$46.65	$133.85	$188.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $83.83 / $146.03	Professional		$43.80	$83.83	$146.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.66 / $307.89 / $704.91	Facility		$163.66	$307.89	$704.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $77.50 / $141.83	Professional		$42.75	$77.50	$141.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $656.33 / $1,215.63	Facility		$71.19	$656.33	$1,215.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.73 / $120.95 / $226.92	Professional		$46.73	$120.95	$226.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.29 / $126.71 / $222.98	Facility		$47.29	$126.71	$222.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $162.00 / $314.52	Professional		$90.00	$162.00	$314.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $149.65 / $230.16	Professional		$109.73	$149.65	$230.16
United Facility/Professional Facility Modifier Low / Median / High Price $888.41 / $1,025.46 / $1,351.52	Facility		$888.41	$1,025.46	$1,351.52
United Facility/Professional Professional Modifier Low / Median / High Price $102.20 / $130.28 / $203.00	Professional		$102.20	$130.28	$203.00