Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $4,570.88 / $4,570.88	Facility		$223.87	$4,570.88	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $213.80 / $257.04	Professional		$204.17	$213.80	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $245.47 / $426.58	Facility		$177.83	$245.47	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $269.15	Professional		$213.80	$245.47	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $213.80 / $213.80	Facility		$199.53	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $245.47 / $602.56	Facility		$223.87	$245.47	$602.56
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 $208.93 / $213.80 / $457.09	Facility		$208.93	$213.80	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $213.80 / $234.42	Professional		$208.93	$213.80	$234.42