Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.57 / $194.57 / $194.57	Facility		$194.57	$194.57	$194.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.27 / $194.57 / $323.72	Professional		$189.27	$194.57	$323.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $321.48 / $461.04	Professional		$255.00	$321.48	$461.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.71 / $271.77 / $300.06	Facility		$193.71	$271.77	$300.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.39 / $261.55 / $271.77	Professional		$198.39	$261.55	$271.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $193.54 / $312.00 / $683.07	Facility		$193.54	$312.00	$683.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $245.00 / $263.00	Professional		$245.00	$245.00	$263.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $293.89 / $293.89 / $293.89	Professional		$293.89	$293.89	$293.89
United Facility/Professional Professional Modifier Low / Median / High Price $165.59 / $216.98 / $326.92	Professional		$165.59	$216.98	$326.92