Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.91 / $15,041.98 / $50,809.14	Facility		$95.91	$15,041.98	$50,809.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $92.25 / $110.13	Professional		$91.02	$92.25	$110.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.63 / $105.06 / $168.44	Facility		$60.63	$105.06	$168.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $110.10 / $132.12	Professional		$91.34	$110.10	$132.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.17 / $91.34 / $105.86	Facility		$86.17	$91.34	$105.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $96.55	Professional		$91.34	$91.34	$96.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $91.34 / $156.44	Facility		$75.79	$91.34	$156.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $139.27	Professional		$75.79	$75.79	$139.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $94.77 / $116.21	Professional		$92.84	$94.77	$116.21
United Facility/Professional Professional Modifier Low / Median / High Price $77.64 / $96.82 / $106.44	Professional		$77.64	$96.82	$106.44