Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $371.54	Professional		$263.03	$288.40	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $537.03	Professional		$346.74	$436.52	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $338.84 / $338.84	Facility		$288.40	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $616.60	Professional		$288.40	$338.84	$616.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $309.03 / $426.58	Facility		$208.93	$309.03	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $208.93	Professional		$177.83	$177.83	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $173.78 / $302.00	Professional		$22.39	$173.78	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $194.98 / $316.23	Facility		$29.51	$194.98	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $331.13	Professional		$120.23	$199.53	$331.13