Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $457.09	Professional		$218.78	$257.04	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $524.81 / $616.60	Professional		$275.42	$524.81	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $295.12 / $851.14	Facility		$177.83	$295.12	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $562.34	Professional		$218.78	$218.78	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $275.42 / $302.00	Professional		$251.19	$275.42	$302.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $371.54 / $831.76	Facility		$234.42	$371.54	$831.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $147.91	Professional		$144.54	$144.54	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $346.74	Professional		$30.20	$30.20	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $263.03 / $616.60	Facility		$0.36	$263.03	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $323.59	Professional		$190.55	$251.19	$323.59