Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $354.81	Professional		$169.82	$218.78	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $489.78 / $575.44	Professional		$281.84	$489.78	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $302.00 / $691.83	Facility		$213.80	$302.00	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $512.86	Professional		$223.87	$223.87	$512.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $239.88 / $263.03	Professional		$234.42	$239.88	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $354.81 / $776.25	Facility		$213.80	$354.81	$776.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $125.89	Professional		$123.03	$123.03	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $323.59	Professional		$30.20	$30.20	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $288.40 / $524.81	Facility		$234.42	$288.40	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $302.00	Professional		$158.49	$239.88	$302.00