Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $152.96 / $618.41	Facility		$65.81	$152.96	$618.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.96 / $152.96 / $154.84	Professional		$152.96	$152.96	$154.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.86 / $76.64 / $171.74	Facility		$37.86	$76.64	$171.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $72.23 / $165.77	Professional		$63.70	$72.23	$165.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Facility		$158.56	$158.56	$158.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.51 / $168.26 / $206.50	Facility		$61.51	$168.26	$206.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.08 / $152.62 / $190.77	Professional		$128.08	$152.62	$190.77
United Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $155.44 / $155.44	Professional		$155.44	$155.44	$155.44