Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $457.09 / $1,737.80	Facility		$125.89	$457.09	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $114.82	Professional		$69.18	$114.82	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $269.15 / $489.78	Facility		$138.04	$269.15	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $114.82 / $204.17	Facility		$83.18	$114.82	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $346.74 / $457.09	Facility		$302.00	$346.74	$457.09