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 / $295.12 / $457.09	Professional		$218.78	$295.12	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $616.60	Professional		$302.00	$524.81	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $380.19 / $954.99	Facility		$229.09	$380.19	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $660.69	Professional		$275.42	$275.42	$660.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $346.74 / $389.05	Professional		$302.00	$346.74	$389.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $436.52 / $851.14	Facility		$257.04	$436.52	$851.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $354.81	Professional		$30.20	$30.20	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $302.00 / $707.95	Facility		$218.78	$302.00	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $346.74	Professional		$199.53	$257.04	$346.74