Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $363.08	Professional		$173.78	$213.80	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $426.58 / $501.19	Professional		$218.78	$426.58	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $660.69	Facility		$234.42	$234.42	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $489.78	Professional		$169.82	$169.82	$489.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $275.42	Professional		$208.93	$245.47	$275.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $309.03 / $660.69	Facility		$199.53	$309.03	$660.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $120.23	Professional		$117.49	$117.49	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $281.84	Professional		$30.20	$30.20	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $218.78 / $512.86	Facility		$0.30	$218.78	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $263.03	Professional		$154.88	$208.93	$263.03