Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $398.11	Professional		$204.17	$257.04	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $549.54	Professional		$269.15	$457.09	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $354.81 / $851.14	Facility		$204.17	$354.81	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $575.44	Professional		$257.04	$257.04	$575.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $309.03	Professional		$239.88	$281.84	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $363.08 / $741.31	Facility		$229.09	$363.08	$741.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $147.91	Professional		$144.54	$144.54	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $288.40 / $630.96	Facility		$229.09	$288.40	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $309.03	Professional		$177.83	$229.09	$309.03