Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.47 / $73.47 / $297.04	Facility		$73.47	$73.47	$297.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.22 / $73.47 / $84.78	Professional		$65.22	$73.47	$84.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.54 / $255.74 / $426.34	Facility		$142.54	$255.74	$426.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $41.90 / $84.86	Professional		$21.00	$41.90	$84.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $143.72 / $269.41	Facility		$81.28	$143.72	$269.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $95.45 / $173.59	Professional		$72.08	$95.45	$173.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $85.50 / $141.99	Facility		$26.00	$85.50	$141.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $116.00 / $198.69	Professional		$40.00	$116.00	$198.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $73.83 / $114.92	Professional		$54.82	$73.83	$114.92
United Facility/Professional Professional Modifier Low / Median / High Price $63.45 / $77.77 / $120.37	Professional		$63.45	$77.77	$120.37