Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.22 / $146.16 / $588.70	Facility		$97.22	$146.16	$588.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.88 / $139.21 / $146.16	Professional		$121.88	$139.21	$146.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.65 / $115.76 / $203.31	Facility		$63.65	$115.76	$203.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $153.10 / $183.72	Professional		$139.21	$153.10	$183.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.33 / $139.21 / $163.72	Facility		$131.33	$139.21	$163.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.21 / $139.21 / $144.47	Professional		$139.21	$139.21	$144.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.74 / $118.65 / $197.82	Facility		$63.74	$118.65	$197.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $63.74 / $199.83	Professional		$63.74	$63.74	$199.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.02 / $146.17 / $346.67	Professional		$143.02	$146.17	$346.67
United Facility/Professional Professional Modifier Low / Median / High Price $118.33 / $147.56 / $161.47	Professional		$118.33	$147.56	$161.47