Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.62 / $269.27 / $836.24	Facility		$119.62	$269.27	$836.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $109.12 / $200.98	Professional		$75.34	$109.12	$200.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.99 / $388.34 / $652.96	Facility		$179.99	$388.34	$652.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $114.33 / $206.20	Professional		$77.54	$114.33	$206.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.19 / $134.08 / $580.00	Facility		$95.19	$134.08	$580.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $140.55 / $214.28	Professional		$96.63	$140.55	$214.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.31 / $143.07 / $222.00	Facility		$92.31	$143.07	$222.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $96.57 / $96.57 / $96.57	Professional		$96.57	$96.57	$96.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.29 / $93.48 / $152.90	Professional		$62.29	$93.48	$152.90
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.44 / $132.83 / $234.22	Professional		$83.44	$132.83	$234.22