Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.43 / $202.43 / $202.43	Facility		$202.43	$202.43	$202.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.43 / $202.43 / $336.80	Professional		$202.43	$202.43	$336.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $334.10 / $479.67	Professional		$265.00	$334.10	$479.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.54 / $335.84 / $370.80	Facility		$201.54	$335.84	$370.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $245.16 / $328.62	Professional		$245.16	$245.16	$328.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $201.37 / $325.00 / $710.67	Facility		$201.37	$325.00	$710.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $254.00 / $273.00	Professional		$254.00	$254.00	$273.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $305.77 / $305.77 / $305.77	Professional		$305.77	$305.77	$305.77
United Facility/Professional Professional Modifier Low / Median / High Price $152.01 / $223.74 / $334.67	Professional		$152.01	$223.74	$334.67