Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.93 / $194.93 / $194.93	Facility		$194.93	$194.93	$194.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.05 / $194.93 / $239.95	Professional		$159.05	$194.93	$239.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.89 / $532.59 / $953.59	Facility		$252.89	$532.59	$953.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $161.29 / $257.17	Professional		$123.00	$161.29	$257.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.76 / $712.96 / $1,215.45	Facility		$251.76	$712.96	$1,215.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.29 / $127.44 / $226.93	Professional		$92.29	$127.44	$226.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.22 / $189.96 / $337.96	Facility		$125.22	$189.96	$337.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $158.00 / $670.14	Professional		$110.00	$158.00	$670.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.55 / $63.07	Professional		$32.34	$40.55	$63.07
United Facility/Professional Facility Modifier Low / Median / High Price $230.13 / $230.13 / $230.13	Facility		$230.13	$230.13	$230.13
United Facility/Professional Professional Modifier Low / Median / High Price $89.95 / $247.73 / $432.04	Professional		$89.95	$247.73	$432.04