Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.95 / $287.95 / $287.95	Facility		$287.95	$287.95	$287.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.45 / $287.95 / $509.43	Professional		$256.45	$287.95	$509.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.00 / $424.86 / $617.21	Professional		$337.00	$424.86	$617.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.11 / $378.92 / $418.35	Facility		$259.11	$378.92	$418.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.61 / $378.92 / $613.97	Professional		$276.61	$378.92	$613.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $258.89 / $417.00 / $913.69	Facility		$258.89	$417.00	$913.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $327.00 / $327.00 / $352.00	Professional		$327.00	$327.00	$352.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $393.12 / $393.12 / $393.12	Professional		$393.12	$393.12	$393.12
United Facility/Professional Professional Modifier Low / Median / High Price $196.55 / $290.24 / $391.27	Professional		$196.55	$290.24	$391.27