Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.75 / $227.75 / $920.11	Facility		$227.75	$227.75	$920.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.42 / $216.90 / $227.75	Professional		$191.42	$216.90	$227.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.16 / $215.65 / $353.81	Facility		$146.16	$215.65	$353.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $242.16 / $294.14	Professional		$216.90	$242.16	$294.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.63 / $204.63 / $216.90	Facility		$204.63	$204.63	$216.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $225.09	Professional		$216.90	$216.90	$225.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.69 / $216.90 / $350.74	Facility		$165.69	$216.90	$350.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.69 / $165.69 / $262.10	Professional		$165.69	$165.69	$262.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $227.57 / $275.60	Professional		$55.00	$227.57	$275.60
United Facility/Professional Professional Modifier Low / Median / High Price $184.37 / $229.91 / $249.44	Professional		$184.37	$229.91	$249.44