Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.25 / $423.47 / $956.36	Facility		$194.25	$423.47	$956.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.12 / $104.53 / $105.81	Professional		$91.12	$104.53	$105.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.19 / $51.19 / $51.19	Facility		$51.19	$51.19	$51.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $99.98 / $119.98	Professional		$87.98	$99.98	$119.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.36 / $108.36 / $108.36	Facility		$108.36	$108.36	$108.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $108.36 / $108.36	Professional		$108.36	$108.36	$108.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.80 / $104.53 / $169.46	Facility		$44.80	$104.53	$169.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.53 / $122.94 / $130.66	Professional		$104.53	$122.94	$130.66
United Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $106.24 / $106.24	Professional		$106.24	$106.24	$106.24