Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $147.91 / $446.68	Facility		$109.65	$147.91	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $125.89	Professional		$89.13	$104.71	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $109.65 / $194.98	Facility		$57.54	$109.65	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $141.25	Professional		$104.71	$114.82	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $104.71 / $104.71	Facility		$97.72	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $125.89 / $288.40	Facility		$109.65	$125.89	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $104.71 / $131.83	Professional		$30.20	$104.71	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $104.71 / $223.87	Facility		$100.00	$104.71	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $114.82	Professional		$100.00	$104.71	$114.82