Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $114.82 / $128.82	Facility		$30.90	$114.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $151.36 / $173.78	Professional		$30.90	$151.36	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $138.04 / $229.09	Facility		$72.44	$138.04	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $407.38 / $676.08	Facility		$87.10	$407.38	$676.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $40.74 / $190.55	Facility		$31.62	$40.74	$190.55
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 $81.28 / $363.08 / $562.34	Facility		$81.28	$363.08	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $158.49 / $295.12	Professional		$47.86	$158.49	$295.12