Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $562.34 / $616.60	Facility		$151.36	$562.34	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $186.21	Professional		$147.91	$154.88	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $81.28 / $190.55	Facility		$33.11	$81.28	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $74.13 / $169.82	Professional		$69.18	$74.13	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $181.97 / $204.17	Facility		$61.66	$181.97	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $151.36 / $190.55	Professional		$30.20	$151.36	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $158.49 / $169.82	Professional		$154.88	$158.49	$169.82