Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.20 / $198.20 / $800.84	Facility		$198.20	$198.20	$800.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.96 / $190.53 / $209.71	Professional		$161.96	$190.53	$209.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.63 / $181.15 / $319.67	Facility		$120.63	$181.15	$319.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.76 / $210.92 / $256.20	Professional		$188.76	$210.92	$256.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.08 / $178.08 / $188.76	Facility		$178.08	$178.08	$188.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.76 / $188.76 / $195.88	Professional		$188.76	$188.76	$195.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.58 / $188.76 / $299.73	Facility		$138.58	$188.76	$299.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.58 / $138.58 / $230.63	Professional		$138.58	$138.58	$230.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $191.37 / $245.25	Professional		$55.00	$191.37	$245.25
United Facility/Professional Professional Modifier Low / Median / High Price $160.44 / $200.09 / $210.13	Professional		$160.44	$200.09	$210.13