Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.29 / $151.29 / $151.29	Facility		$151.29	$151.29	$151.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.29 / $151.29 / $282.95	Professional		$151.29	$151.29	$282.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $277.37 / $410.61	Professional		$220.00	$277.37	$410.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.10 / $278.10 / $307.04	Facility		$278.10	$278.10	$307.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $265.94 / $278.10	Professional		$203.01	$265.94	$278.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.12 / $257.19 / $564.65	Facility		$84.12	$257.19	$564.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $328.83 / $328.83 / $328.83	Professional		$328.83	$328.83	$328.83
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 $131.47 / $199.25 / $290.22	Professional		$131.47	$199.25	$290.22