Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.97 / $199.97 / $199.97	Facility		$199.97	$199.97	$199.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.83 / $199.97 / $332.70	Professional		$188.83	$199.97	$332.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $346.70 / $484.86	Professional		$275.00	$346.70	$484.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $286.80 / $316.66	Facility		$286.80	$286.80	$316.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $209.36 / $281.42	Professional		$209.36	$209.36	$281.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $195.68 / $326.08 / $702.01	Facility		$195.68	$326.08	$702.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $327.10 / $327.10 / $327.10	Professional		$327.10	$327.10	$327.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.05 / $302.05 / $302.05	Professional		$302.05	$302.05	$302.05
United Facility/Professional Professional Modifier Low / Median / High Price $165.11 / $221.02 / $298.68	Professional		$165.11	$221.02	$298.68