Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.44 / $364.81 / $364.81	Facility		$198.44	$364.81	$364.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $198.44 / $205.70	Professional		$193.60	$198.44	$205.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $93.23 / $113.14	Professional		$81.23	$93.23	$113.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Facility		$205.70	$205.70	$205.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $113.51 / $198.44 / $284.11	Facility		$113.51	$198.44	$284.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.10 / $177.10 / $177.10	Professional		$177.10	$177.10	$177.10
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 $198.00 / $220.00 / $242.00	Professional		$198.00	$220.00	$242.00