Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $141.25 / $181.97	Professional		$125.89	$141.25	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $213.80 / $371.54	Facility		$112.20	$213.80	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $263.03	Professional		$120.23	$177.83	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $288.40	Facility		$223.87	$223.87	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $371.54	Professional		$144.54	$199.53	$371.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $177.83 / $295.12	Facility		$131.83	$177.83	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,380.38	Facility		$912.01	$1,047.13	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $245.47	Professional		$117.49	$151.36	$245.47