Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $389.05	Professional		$165.96	$213.80	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $457.09 / $537.03	Professional		$257.04	$457.09	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $218.78 / $616.60	Facility		$199.53	$218.78	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $389.05	Professional		$158.49	$158.49	$389.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $269.15	Professional		$199.53	$245.47	$269.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $295.12 / $602.56	Facility		$181.97	$295.12	$602.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $109.65	Professional		$107.15	$107.15	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $302.00	Professional		$30.20	$30.20	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $190.55 / $457.09	Facility		$36.31	$190.55	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $269.15	Professional		$141.25	$213.80	$269.15