Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $269.15 / $831.76	Facility		$208.93	$269.15	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $234.42	Professional		$173.78	$194.98	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $204.17 / $363.08	Facility		$141.25	$204.17	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $245.47	Professional		$190.55	$223.87	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $194.98 / $194.98	Facility		$186.21	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $229.09 / $537.03	Facility		$208.93	$229.09	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $194.98 / $426.58	Facility		$186.21	$194.98	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $194.98 / $218.78	Professional		$186.21	$194.98	$218.78