Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $281.84	Professional		$151.36	$208.93	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $407.38 / $933.25	Facility		$213.80	$407.38	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $269.15	Professional		$120.23	$169.82	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $269.15 / $1,202.26	Facility		$56.23	$269.15	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $239.88	Professional		$89.13	$128.82	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $165.96	Professional		$154.88	$154.88	$165.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $194.98 / $331.13	Facility		$100.00	$194.98	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,000.00 / $1,513.56	Facility		$229.09	$1,000.00	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $218.78 / $380.19	Professional		$93.33	$218.78	$380.19