Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $416.87	Professional		$234.42	$275.42	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $660.69	Professional		$354.81	$537.03	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $363.08 / $891.25	Facility		$120.23	$363.08	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $645.65	Professional		$263.03	$263.03	$645.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $363.08	Professional		$281.84	$331.13	$363.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $416.87 / $891.25	Facility		$251.19	$416.87	$891.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $380.19	Professional		$30.20	$30.20	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $0.40 / $371.54 / $676.08	Facility		$0.40	$371.54	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $380.19	Professional		$208.93	$281.84	$380.19