Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.08 / $238.64 / $964.09	Facility		$199.08	$238.64	$964.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.58 / $227.28 / $247.73	Professional		$199.58	$227.28	$247.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.41 / $255.61 / $438.88	Facility		$137.41	$255.61	$438.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $276.91 / $332.29	Professional		$227.28	$276.91	$332.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.41 / $227.28 / $268.91	Facility		$214.41	$227.28	$268.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $239.45	Professional		$227.28	$227.28	$239.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $136.07 / $218.80 / $367.03	Facility		$136.07	$218.80	$367.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $136.07 / $136.07 / $334.79	Professional		$136.07	$136.07	$334.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $228.19 / $233.71 / $556.04	Professional		$228.19	$233.71	$556.04
United Facility/Professional Facility Modifier Low / Median / High Price $221.71 / $227.28 / $365.82	Facility		$221.71	$227.28	$365.82
United Facility/Professional Professional Modifier Low / Median / High Price $193.19 / $240.92 / $270.45	Professional		$193.19	$240.92	$270.45