Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.68 / $8,611.01 / $8,611.01	Facility		$145.68	$8,611.01	$8,611.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.79 / $138.74 / $145.68	Professional		$132.79	$138.74	$145.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $74.84 / $117.47	Facility		$59.90	$74.84	$117.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $180.00 / $208.11	Professional		$138.74	$180.00	$208.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $138.74 / $138.74	Facility		$130.88	$138.74	$138.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $138.74	Professional		$138.74	$138.74	$138.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.56 / $173.68 / $294.76	Facility		$140.56	$173.68	$294.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $167.68 / $167.68 / $167.68	Professional		$167.68	$167.68	$167.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.98 / $145.67 / $177.28	Professional		$142.98	$145.67	$177.28
United Facility/Professional Professional Modifier Low / Median / High Price $127.64 / $138.74 / $152.61	Professional		$127.64	$138.74	$152.61