Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $234.00 / $234.00	Facility		$234.00	$234.00	$234.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $268.52 / $268.52	Professional		$234.00	$268.52	$268.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.50 / $315.70 / $616.79	Facility		$175.50	$315.70	$616.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.92 / $234.00 / $280.80	Professional		$205.92	$234.00	$280.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Facility		$206.70	$206.70	$206.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Professional		$206.70	$206.70	$206.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $222.30 / $222.30 / $247.97	Facility		$222.30	$222.30	$247.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.87 / $204.87 / $204.87	Professional		$204.87	$204.87	$204.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $214.50 / $214.50 / $268.12	Professional		$214.50	$214.50	$268.12
United Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $234.00	Professional		$234.00	$234.00	$234.00