Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.75 / $223.75 / $223.75	Facility		$223.75	$223.75	$223.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.36 / $223.75 / $372.27	Professional		$208.36	$223.75	$372.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $365.62 / $530.16	Professional		$290.00	$365.62	$530.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.77 / $280.67 / $309.89	Facility		$222.77	$280.67	$309.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.89 / $280.67 / $300.77	Professional		$204.89	$280.67	$300.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $214.27 / $359.00 / $785.50	Facility		$214.27	$359.00	$785.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $281.00 / $281.00 / $302.00	Professional		$281.00	$281.00	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $337.97 / $337.97 / $337.97	Professional		$337.97	$337.97	$337.97
United Facility/Professional Professional Modifier Low / Median / High Price $166.35 / $244.00 / $305.38	Professional		$166.35	$244.00	$305.38