Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $354.81	Professional		$181.97	$213.80	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $407.38 / $478.63	Professional		$234.42	$407.38	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $251.19 / $724.44	Facility		$177.83	$251.19	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $467.74	Professional		$181.97	$181.97	$467.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $309.03	Professional		$223.87	$275.42	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $338.84 / $707.95	Facility		$199.53	$338.84	$707.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $269.15	Professional		$30.20	$30.20	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $251.19 / $549.54	Facility		$199.53	$251.19	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $269.15	Professional		$154.88	$199.53	$269.15