Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.69 / $115.69 / $115.69	Facility		$115.69	$115.69	$115.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.69 / $115.69 / $218.38	Professional		$115.69	$115.69	$218.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $395.20 / $495.03	Professional		$380.00	$395.20	$495.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.44 / $409.07 / $451.65	Facility		$140.44	$409.07	$451.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $395.03 / $409.07	Professional		$347.71	$395.03	$409.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.69 / $186.27 / $565.54	Facility		$115.69	$186.27	$565.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $369.00 / $369.00 / $369.00	Professional		$369.00	$369.00	$369.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $318.88 / $318.88 / $318.88	Facility		$318.88	$318.88	$318.88
United Facility/Professional Professional Modifier Low / Median / High Price $115.49 / $230.98 / $434.20	Professional		$115.49	$230.98	$434.20