Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $457.09 / $501.19	Facility		$147.91	$457.09	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $263.03	Professional		$123.03	$158.49	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $79.43 / $426.58	Facility		$61.66	$79.43	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $302.00 / $354.81	Professional		$158.49	$302.00	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $467.74	Facility		$177.83	$177.83	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $346.74	Professional		$128.82	$128.82	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $194.98	Professional		$147.91	$147.91	$194.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $218.78 / $478.63	Facility		$144.54	$218.78	$478.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $199.53	Professional		$30.20	$30.20	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $165.96 / $363.08	Facility		$0.21	$165.96	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $186.21	Professional		$109.65	$147.91	$186.21