Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.57 / $257.57 / $257.57	Facility		$257.57	$257.57	$257.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.40 / $245.30 / $257.57	Professional		$240.40	$245.30	$257.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $293.33 / $420.11	Facility		$177.38	$293.33	$420.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.60 / $162.72 / $306.63	Professional		$135.60	$162.72	$306.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.42 / $245.30 / $245.30	Facility		$231.42	$245.30	$245.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $245.30	Professional		$245.30	$245.30	$245.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $245.30 / $290.85 / $508.68	Facility		$245.30	$290.85	$508.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $280.82 / $280.82 / $280.82	Professional		$280.82	$280.82	$280.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $321.13	Professional		$30.00	$55.00	$321.13
United Facility/Professional Professional Modifier Low / Median / High Price $233.04 / $245.30 / $269.83	Professional		$233.04	$245.30	$269.83