Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $691.83 / $15,848.93	Facility		$169.82	$691.83	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $218.78	Professional		$162.18	$162.18	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $141.25 / $263.03	Facility		$74.13	$141.25	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $190.55 / $213.80	Professional		$162.18	$190.55	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $162.18 / $229.09	Facility		$154.88	$162.18	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $169.82	Professional		$162.18	$162.18	$169.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $173.78 / $263.03	Facility		$144.54	$173.78	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $398.11 / $398.11	Professional		$30.20	$398.11	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $162.18 / $354.81	Facility		$151.36	$162.18	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $181.97	Professional		$138.04	$173.78	$181.97