Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.53 / $210.53 / $210.53	Facility		$210.53	$210.53	$210.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.87 / $209.85 / $232.61	Professional		$156.87	$209.85	$232.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.72 / $314.45 / $472.77	Facility		$163.72	$314.45	$472.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.48 / $218.75 / $352.19	Professional		$190.48	$218.75	$352.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.96 / $136.96 / $136.96	Facility		$136.96	$136.96	$136.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.40 / $205.20 / $385.71	Professional		$95.40	$205.20	$385.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $149.91 / $211.18 / $383.79	Facility		$149.91	$211.18	$383.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.85 / $134.64 / $256.68	Professional		$89.85	$134.64	$256.68
United Facility/Professional Facility Modifier Low / Median / High Price $659.73 / $761.50 / $1,003.63	Facility		$659.73	$761.50	$1,003.63
United Facility/Professional Professional Modifier Low / Median / High Price $139.16 / $210.74 / $346.35	Professional		$139.16	$210.74	$346.35