Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.52 / $163.27 / $992.68	Facility		$146.52	$163.27	$992.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.27 / $163.27 / $182.11	Professional		$163.27	$163.27	$182.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.61 / $540.46 / $910.53	Facility		$226.61	$540.46	$910.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $209.32 / $332.00	Professional		$150.00	$209.32	$332.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.42 / $606.83 / $1,193.52	Facility		$380.42	$606.83	$1,193.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $95.48 / $300.45	Professional		$79.29	$95.48	$300.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $146.52 / $188.39 / $258.13	Facility		$146.52	$188.39	$258.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.44 / $189.06 / $240.00	Professional		$181.44	$189.06	$240.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $115.13 / $165.78	Professional		$115.13	$115.13	$165.78
United Facility/Professional Professional Modifier Low / Median / High Price $87.91 / $119.39 / $251.18	Professional		$87.91	$119.39	$251.18