Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.42 / $244.42 / $968.78	Facility		$244.42	$244.42	$968.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.09 / $244.42 / $253.36	Professional		$221.09	$244.42	$253.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.46 / $257.00 / $428.60	Facility		$157.46	$257.00	$428.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.55 / $307.01 / $372.59	Professional		$267.55	$307.01	$372.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Facility		$253.36	$253.36	$253.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Professional		$253.36	$253.36	$253.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $191.18 / $253.36 / $415.51	Facility		$191.18	$253.36	$415.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $191.18 / $191.18 / $253.36	Professional		$191.18	$191.18	$253.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $214.95 / $245.95 / $263.38	Professional		$214.95	$245.95	$263.38
United Facility/Professional Professional Modifier Low / Median / High Price $223.55 / $248.39 / $273.23	Professional		$223.55	$248.39	$273.23