Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.13 / $198.13 / $198.13	Facility		$198.13	$198.13	$198.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.10 / $198.13 / $350.52	Professional		$190.10	$198.13	$350.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $296.27 / $424.33	Professional		$235.00	$296.27	$424.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.29 / $252.60 / $278.89	Facility		$178.29	$252.60	$278.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $184.40 / $254.74	Professional		$184.40	$184.40	$254.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $178.14 / $287.00 / $628.67	Facility		$178.14	$287.00	$628.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $242.00	Professional		$225.00	$225.00	$242.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $270.50 / $270.50 / $270.50	Professional		$270.50	$270.50	$270.50
United Facility/Professional Professional Modifier Low / Median / High Price $135.24 / $197.93 / $269.23	Professional		$135.24	$197.93	$269.23