Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $263.03 / $831.76	Facility		$204.17	$263.03	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $234.42	Professional		$194.98	$194.98	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $186.21 / $389.05	Facility		$125.89	$186.21	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $213.80 / $245.47	Professional		$194.98	$213.80	$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 / $213.80	Professional		$194.98	$194.98	$213.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $213.80 / $346.74	Facility		$194.98	$213.80	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $194.98 / $416.87	Facility		$190.55	$194.98	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $218.78	Professional		$165.96	$208.93	$218.78