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 $158.49 / $199.53 / $295.12	Professional		$158.49	$199.53	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $398.11 / $478.63	Professional		$234.42	$398.11	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $245.47 / $602.56	Facility		$177.83	$245.47	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $467.74	Professional		$177.83	$177.83	$467.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $218.78 / $229.09	Professional		$204.17	$218.78	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $288.40 / $549.54	Facility		$177.83	$288.40	$549.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $109.65	Professional		$107.15	$107.15	$109.65
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 $169.82 / $251.19 / $457.09	Facility		$169.82	$251.19	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $257.04	Professional		$141.25	$199.53	$257.04