Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $354.81	Professional		$199.53	$234.42	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $602.56	Professional		$354.81	$478.63	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $295.12 / $741.31	Facility		$100.00	$295.12	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $549.54	Professional		$213.80	$213.80	$549.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $309.03	Professional		$234.42	$275.42	$309.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $354.81 / $741.31	Facility		$213.80	$354.81	$741.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $138.04	Professional		$134.90	$134.90	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $316.23 / $575.44	Facility		$0.33	$316.23	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $323.59	Professional		$173.78	$234.42	$323.59