Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $407.38	Professional		$169.82	$229.09	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $549.54	Professional		$275.42	$467.74	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $288.40 / $691.83	Facility		$208.93	$288.40	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $549.54	Professional		$213.80	$213.80	$549.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $223.87 / $251.19	Professional		$199.53	$223.87	$251.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $331.13 / $758.58	Facility		$213.80	$331.13	$758.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $120.23	Professional		$117.49	$117.49	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $316.23	Professional		$30.20	$30.20	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $234.42 / $512.86	Facility		$186.21	$234.42	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $288.40	Professional		$154.88	$223.87	$288.40