Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $275.42 / $851.14	Facility		$208.93	$275.42	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $251.19	Professional		$199.53	$199.53	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $208.93 / $354.81	Facility		$138.04	$208.93	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $223.87 / $263.03	Professional		$199.53	$223.87	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $199.53 / $199.53	Facility		$190.55	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $218.78	Professional		$199.53	$199.53	$218.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $223.87 / $363.08	Facility		$199.53	$223.87	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $223.87	Professional		$169.82	$213.80	$223.87