Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.37 / $181.68 / $732.51	Facility		$135.37	$181.68	$732.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $174.75 / $218.01	Professional		$142.41	$174.75	$218.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.74 / $161.11 / $273.85	Facility		$85.74	$161.11	$273.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $206.53 / $241.64	Professional		$173.03	$206.53	$241.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $173.03 / $198.85	Facility		$163.24	$173.03	$198.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $179.56	Professional		$173.03	$173.03	$179.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.83 / $152.18 / $249.65	Facility		$87.83	$152.18	$249.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $228.22	Professional		$95.00	$95.00	$228.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.16 / $181.68 / $431.37	Professional		$173.16	$181.68	$431.37
United Facility/Professional Professional Modifier Low / Median / High Price $147.08 / $183.41 / $216.29	Professional		$147.08	$183.41	$216.29