Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.89 / $244.89 / $244.89	Facility		$244.89	$244.89	$244.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.26 / $244.89 / $407.44	Professional		$231.26	$244.89	$407.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.00 / $461.43 / $643.54	Professional		$366.00	$461.43	$643.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.32 / $388.32 / $428.74	Facility		$388.32	$388.32	$428.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.07 / $330.07 / $388.32	Professional		$330.07	$330.07	$388.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $243.60 / $384.06 / $785.85	Facility		$243.60	$384.06	$785.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $384.06 / $384.06 / $384.06	Professional		$384.06	$384.06	$384.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $369.91 / $369.91 / $369.91	Professional		$369.91	$369.91	$369.91
United Facility/Professional Professional Modifier Low / Median / High Price $190.04 / $270.67 / $365.70	Professional		$190.04	$270.67	$365.70