Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $389.05 / $741.31	Facility		$109.65	$389.05	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $173.78	Professional		$109.65	$123.03	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $165.96 / $218.78	Professional		$158.49	$165.96	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $398.11 / $891.25	Facility		$102.33	$398.11	$891.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $128.82 / $269.15	Facility		$102.33	$128.82	$269.15
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 $141.25 / $158.49 / $186.21	Facility		$141.25	$158.49	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $158.49	Professional		$66.07	$93.33	$158.49