Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.31 / $85.31 / $344.91	Facility		$85.31	$85.31	$344.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $88.43 / $88.43	Professional		$85.31	$88.43	$88.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.77 / $156.16 / $274.23	Facility		$82.77	$156.16	$274.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.56 / $104.04 / $124.85	Professional		$91.56	$104.04	$124.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Facility		$88.43	$88.43	$88.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Professional		$88.43	$88.43	$88.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.31 / $104.04 / $138.11	Facility		$85.31	$104.04	$138.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $85.31 / $106.63	Professional		$85.31	$85.31	$106.63
United Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $86.70	Professional		$86.70	$86.70	$86.70