Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.18 / $201.18 / $201.18	Facility		$201.18	$201.18	$201.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $201.18 / $334.71	Professional		$190.00	$201.18	$334.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.71 / $449.71 / $541.17	Professional		$449.71	$449.71	$541.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.35 / $318.35 / $351.48	Facility		$318.35	$318.35	$351.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $270.44 / $318.35	Professional		$232.40	$270.44	$318.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $196.88 / $328.10 / $706.27	Facility		$196.88	$328.10	$706.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $329.08 / $329.08 / $329.08	Professional		$329.08	$329.08	$329.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $303.87 / $303.87 / $303.87	Professional		$303.87	$303.87	$303.87
United Facility/Professional Professional Modifier Low / Median / High Price $166.13 / $222.35 / $300.49	Professional		$166.13	$222.35	$300.49