Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $316.23	Professional		$123.03	$177.83	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $478.63	Professional		$245.47	$389.05	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $436.52	Facility		$309.03	$309.03	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $331.13	Professional		$229.09	$229.09	$331.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $234.42 / $588.84	Facility		$158.49	$234.42	$588.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $134.90	Professional		$93.33	$93.33	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $316.23	Professional		$30.20	$30.20	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $245.47 / $524.81	Facility		$0.34	$245.47	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $323.59	Professional		$154.88	$229.09	$323.59