Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $794.33 / $2,754.23	Facility		$457.09	$794.33	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $269.15	Professional		$154.88	$194.98	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $389.05 / $467.74	Professional		$363.08	$389.05	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $275.42 / $537.03	Facility		$77.62	$275.42	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $478.63	Professional		$234.42	$234.42	$478.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $245.47	Professional		$181.97	$218.78	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $269.15 / $562.34	Facility		$162.18	$269.15	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $204.17 / $245.47	Facility		$0.25	$204.17	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $239.88	Professional		$128.82	$181.97	$239.88