Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.09 / $320.95 / $623.78	Facility		$170.09	$320.95	$623.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.09 / $174.45 / $189.71	Professional		$170.09	$174.45	$189.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $21.43 / $21.43	Facility		$21.43	$21.43	$21.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $160.93 / $272.58	Professional		$154.00	$160.93	$272.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.31 / $632.16 / $1,243.33	Facility		$396.31	$632.16	$1,243.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.11 / $250.69 / $313.36	Professional		$122.11	$250.69	$313.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.63 / $196.25 / $289.14	Facility		$152.63	$196.25	$289.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $174.45 / $174.45 / $218.06	Professional		$174.45	$174.45	$218.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.93 / $119.93 / $172.70	Professional		$119.93	$119.93	$172.70
United Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $218.06 / $218.06	Facility		$218.06	$218.06	$218.06
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $130.84 / $312.72	Professional		$91.59	$130.84	$312.72