Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.72 / $207.72 / $839.04	Facility		$207.72	$207.72	$839.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.65 / $199.62 / $207.72	Professional		$197.65	$199.62	$207.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.60 / $205.02 / $325.62	Facility		$118.60	$205.02	$325.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $219.76 / $266.94	Professional		$197.83	$219.76	$266.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.63 / $186.63 / $197.83	Facility		$186.63	$186.63	$197.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $205.30	Professional		$197.83	$197.83	$205.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.59 / $197.83 / $319.89	Facility		$152.59	$197.83	$319.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $152.59 / $152.59 / $241.88	Professional		$152.59	$152.59	$241.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $195.63 / $199.35 / $474.22	Professional		$195.63	$199.35	$474.22
United Facility/Professional Facility Modifier Low / Median / High Price $194.08 / $194.08 / $194.08	Facility		$194.08	$194.08	$194.08
United Facility/Professional Professional Modifier Low / Median / High Price $168.16 / $209.70 / $230.54	Professional		$168.16	$209.70	$230.54