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 $186.21 / $218.78 / $331.13	Professional		$186.21	$218.78	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $446.68 / $524.81	Professional		$275.42	$446.68	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $707.95	Facility		$288.40	$288.40	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $512.86	Professional		$208.93	$208.93	$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 / $323.59 / $707.95	Facility		$199.53	$323.59	$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 / $295.12 / $537.03	Facility		$0.32	$295.12	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $302.00	Professional		$165.96	$223.87	$302.00