Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.89 / $581.40 / $9,195.49	Facility		$113.89	$581.40	$9,195.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $109.55 / $136.66	Professional		$108.46	$109.55	$136.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.10 / $569.33 / $1,024.77	Facility		$192.10	$569.33	$1,024.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $192.10 / $278.70	Professional		$108.47	$192.10	$278.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $108.47 / $163.28	Facility		$102.33	$108.47	$163.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $138.13	Professional		$108.47	$108.47	$138.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $545.44 / $578.66	Facility		$108.47	$545.44	$578.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.01 / $404.21 / $545.44	Professional		$169.01	$404.21	$545.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.89 / $157.93 / $273.20	Professional		$113.89	$157.93	$273.20
United Facility/Professional Professional Modifier Low / Median / High Price $92.20 / $114.98 / $130.60	Professional		$92.20	$114.98	$130.60