Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $416.87 / $467.74	Facility		$114.82	$416.87	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $151.36	Professional		$87.10	$114.82	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $489.78	Facility		$281.84	$281.84	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $120.23	Facility		$70.79	$70.79	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $181.97	Professional		$91.20	$123.03	$181.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $125.89 / $186.21	Facility		$87.10	$125.89	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $154.88	Professional		$104.71	$134.90	$154.88