Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $331.13	Professional		$190.55	$218.78	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $478.63 / $630.96	Professional		$457.09	$478.63	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $707.95	Facility		$316.23	$316.23	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $512.86	Professional		$234.42	$234.42	$512.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $295.12	Professional		$223.87	$223.87	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $331.13 / $707.95	Facility		$199.53	$331.13	$707.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $302.00	Professional		$30.20	$30.20	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $302.00 / $549.54	Facility		$0.32	$302.00	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $309.03	Professional		$165.96	$223.87	$309.03