Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $131.83 / $177.83	Facility		$42.66	$131.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $102.33 / $173.78	Professional		$39.81	$102.33	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $346.74 / $691.83	Facility		$141.25	$346.74	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $125.89 / $186.21	Professional		$36.31	$125.89	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $2,238.72	Facility		$66.07	$66.07	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $128.82 / $251.19	Professional		$45.71	$128.82	$251.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $331.13	Professional		$245.47	$309.03	$331.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $125.89 / $275.42	Facility		$43.65	$125.89	$275.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
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 $1,380.38 / $1,584.89 / $2,089.30	Facility		$1,380.38	$1,584.89	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $95.50 / $194.98	Professional		$38.02	$95.50	$194.98