Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.36 / $115.36 / $460.90	Facility		$115.36	$115.36	$460.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.77 / $115.36 / $115.36	Professional		$105.77	$115.36	$115.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $126.58 / $202.89	Facility		$73.42	$126.58	$202.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $140.68 / $168.82	Professional		$123.80	$140.68	$168.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Facility		$119.58	$119.58	$119.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.36 / $138.43 / $155.74	Facility		$115.36	$138.43	$155.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.35 / $115.36 / $144.19	Professional		$95.35	$115.36	$144.19
United Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $117.24	Professional		$117.24	$117.24	$117.24