Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $537.03 / $954.99	Facility		$141.25	$537.03	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $186.21	Professional		$128.82	$154.88	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $213.80 / $281.84	Professional		$199.53	$213.80	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $512.86 / $1,148.15	Facility		$128.82	$512.86	$1,148.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $181.97 / $363.08	Facility		$147.91	$181.97	$363.08
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 $181.97 / $199.53 / $239.88	Facility		$181.97	$199.53	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $199.53	Professional		$83.18	$120.23	$199.53