Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.94 / $207.94 / $207.94	Facility		$207.94	$207.94	$207.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.02 / $207.94 / $367.88	Professional		$189.02	$207.94	$367.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $277.37 / $445.35	Professional		$220.00	$277.37	$445.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.26 / $233.26 / $257.52	Facility		$233.26	$233.26	$257.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $170.28 / $264.51	Professional		$170.28	$170.28	$264.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.95 / $301.00 / $679.81	Facility		$186.95	$301.00	$679.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $235.00 / $235.00	Professional		$235.00	$235.00	$235.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $283.89 / $283.89 / $283.89	Professional		$283.89	$283.89	$283.89
United Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $200.26 / $252.65	Professional		$139.72	$200.26	$252.65