Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.55 / $223.55 / $223.55	Facility		$223.55	$223.55	$223.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.12 / $223.55 / $371.93	Professional		$211.12	$223.55	$371.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.00 / $474.38 / $601.35	Professional		$313.00	$474.38	$601.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.50 / $321.50 / $354.96	Facility		$321.50	$321.50	$354.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $234.70 / $314.61	Professional		$234.70	$234.70	$314.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $143.01 / $371.93 / $784.79	Facility		$143.01	$371.93	$784.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $375.54 / $375.54 / $375.54	Professional		$375.54	$375.54	$375.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $337.66 / $337.66 / $337.66	Professional		$337.66	$337.66	$337.66
United Facility/Professional Professional Modifier Low / Median / High Price $184.60 / $247.07 / $333.75	Professional		$184.60	$247.07	$333.75