Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.90 / $255.90 / $29,952.23	Facility		$255.90	$255.90	$29,952.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.92 / $246.15 / $295.02	Professional		$223.92	$246.15	$295.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.38 / $255.89 / $411.60	Facility		$162.38	$255.89	$411.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $274.29 / $333.18	Professional		$243.71	$274.29	$333.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.92 / $243.71 / $288.07	Facility		$229.92	$243.71	$288.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $252.91	Professional		$243.71	$243.71	$252.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $190.45 / $243.71 / $396.34	Facility		$190.45	$243.71	$396.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.45 / $190.45 / $376.46	Professional		$190.45	$190.45	$376.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.16 / $251.82 / $599.29	Professional		$248.16	$251.82	$599.29
United Facility/Professional Professional Modifier Low / Median / High Price $207.15 / $258.33 / $284.01	Professional		$207.15	$258.33	$284.01