Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.79 / $199.79 / $199.79	Facility		$199.79	$199.79	$199.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.36 / $199.79 / $242.83	Professional		$155.36	$199.79	$242.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.38 / $275.52 / $436.73	Professional		$248.38	$275.52	$436.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.08 / $306.08 / $306.08	Facility		$306.08	$306.08	$306.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $160.94	Professional		$160.94	$160.94	$160.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.79 / $249.51 / $422.75	Facility		$199.79	$249.51	$422.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $253.07 / $253.07 / $253.07	Professional		$253.07	$253.07	$253.07
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 $96.39 / $144.59 / $192.78	Professional		$96.39	$144.59	$192.78