Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.67 / $168.67 / $168.67	Facility		$168.67	$168.67	$168.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.67 / $168.67 / $315.55	Professional		$168.67	$168.67	$315.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $308.89 / $452.83	Professional		$245.00	$308.89	$452.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.30 / $312.30 / $344.80	Facility		$312.30	$312.30	$344.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $293.08 / $312.30	Professional		$227.98	$293.08	$312.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.35 / $286.74 / $670.42	Facility		$94.35	$286.74	$670.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $362.39 / $362.39 / $362.39	Professional		$362.39	$362.39	$362.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $312.87 / $312.87 / $312.87	Professional		$312.87	$312.87	$312.87
United Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $220.70 / $326.14	Professional		$154.00	$220.70	$326.14