Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $331.13	Professional		$169.82	$229.09	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $398.11 / $467.74	Professional		$234.42	$398.11	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $309.03 / $707.95	Facility		$177.83	$309.03	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $549.54	Professional		$223.87	$223.87	$549.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $239.88 / $263.03	Professional		$234.42	$239.88	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $302.00 / $676.08	Facility		$177.83	$302.00	$676.08
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 $218.78 / $295.12 / $537.03	Facility		$218.78	$295.12	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $302.00	Professional		$154.88	$199.53	$302.00