Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.84 / $214.84 / $871.43	Facility		$214.84	$214.84	$871.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.84 / $212.87 / $257.80	Professional		$199.84	$212.87	$257.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.24 / $317.54 / $585.17	Facility		$172.24	$317.54	$585.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $235.37 / $282.38	Professional		$204.61	$235.37	$282.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.03 / $204.61 / $204.61	Facility		$193.03	$204.61	$204.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $204.61	Professional		$204.61	$204.61	$204.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $214.84 / $339.39	Facility		$204.61	$214.84	$339.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $195.98 / $195.98 / $225.58	Professional		$195.98	$195.98	$225.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.19 / $168.32 / $287.33	Professional		$164.19	$168.32	$287.33
United Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $204.61 / $204.61	Professional		$81.84	$204.61	$204.61