Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.75 / $8,047.13 / $15,824.16	Facility		$120.75	$8,047.13	$15,824.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.07 / $164.84 / $197.48	Professional		$136.07	$164.84	$197.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.75 / $144.97 / $236.79	Facility		$83.75	$144.97	$236.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.94 / $180.99 / $217.19	Professional		$149.94	$180.99	$217.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.96 / $164.25 / $183.01	Facility		$154.96	$164.25	$183.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $170.45	Professional		$164.25	$164.25	$170.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.62 / $164.25 / $239.48	Facility		$108.62	$164.25	$239.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.62 / $108.62 / $217.19	Professional		$108.62	$108.62	$217.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.06 / $167.91 / $397.35	Professional		$156.06	$167.91	$397.35
United Facility/Professional Professional Modifier Low / Median / High Price $139.61 / $174.11 / $205.31	Professional		$139.61	$174.11	$205.31