Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.30 / $109.97 / $445.54	Facility		$98.30	$109.97	$445.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.84 / $109.97 / $170.02	Professional		$90.84	$109.97	$170.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.12 / $110.42 / $178.13	Facility		$64.12	$110.42	$178.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.88 / $124.61 / $143.80	Professional		$100.88	$124.61	$143.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.80 / $104.73 / $104.73	Facility		$98.80	$104.73	$104.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.97 / $124.61 / $255.47	Facility		$109.97	$124.61	$255.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $161.65 / $161.65 / $161.65	Professional		$161.65	$161.65	$161.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $104.95 / $131.18	Professional		$95.10	$104.95	$131.18
United Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73