Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.63 / $227.00 / $467.49	Facility		$115.63	$227.00	$467.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $116.84 / $139.41	Professional		$95.95	$116.84	$139.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.61 / $439.62 / $471.22	Facility		$269.61	$439.62	$471.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $120.00	Facility		$70.00	$70.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.23 / $108.02 / $164.34	Professional		$90.23	$108.02	$164.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $121.91 / $190.08	Facility		$81.00	$121.91	$190.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $150.91 / $150.91	Professional		$108.23	$150.91	$150.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $137.24 / $154.72	Professional		$104.70	$137.24	$154.72