Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.92 / $216.92 / $255.20	Facility		$216.92	$216.92	$255.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.91 / $216.92 / $216.92	Professional		$216.91	$216.92	$216.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.77 / $320.36 / $566.94	Facility		$157.77	$320.36	$566.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.58 / $255.20 / $306.24	Professional		$224.58	$255.20	$306.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Facility		$238.19	$238.19	$238.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Professional		$238.19	$238.19	$238.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $216.92 / $238.61 / $292.83	Facility		$216.92	$238.61	$292.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.05 / $240.96 / $262.86	Professional		$219.05	$240.96	$262.86