Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.75 / $213.75 / $213.75	Facility		$213.75	$213.75	$213.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.75 / $213.75 / $400.00	Professional		$213.75	$213.75	$400.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $378.22 / $567.75	Professional		$300.00	$378.22	$567.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $421.80	Facility		$382.03	$382.03	$421.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $367.46 / $382.03	Professional		$278.88	$367.46	$382.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.22 / $363.38 / $840.53	Facility		$120.22	$363.38	$840.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $454.34 / $454.34 / $454.34	Professional		$454.34	$454.34	$454.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $392.27 / $392.27 / $392.27	Professional		$392.27	$392.27	$392.27
United Facility/Professional Professional Modifier Low / Median / High Price $181.88 / $276.70 / $404.17	Professional		$181.88	$276.70	$404.17