Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $363.08	Professional		$186.21	$251.19	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $512.86	Professional		$257.04	$436.52	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $275.42 / $812.83	Facility		$93.33	$275.42	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $562.34	Professional		$199.53	$199.53	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $309.03 / $338.84	Professional		$288.40	$309.03	$338.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $338.84 / $758.58	Facility		$194.98	$338.84	$758.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $295.12	Professional		$30.20	$30.20	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $323.59 / $588.84	Facility		$190.55	$323.59	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $323.59	Professional		$169.82	$218.78	$323.59