Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $234.42	Professional		$114.82	$169.82	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $316.23	Professional		$173.78	$269.15	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $426.58	Facility		$177.83	$177.83	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $309.03	Professional		$128.82	$128.82	$309.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $177.83	Professional		$134.90	$134.90	$177.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $239.88 / $436.52	Facility		$158.49	$239.88	$436.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $95.50	Professional		$77.62	$77.62	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $181.97	Professional		$30.20	$30.20	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $177.83 / $204.17	Facility		$138.04	$177.83	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $190.55	Professional		$100.00	$131.83	$190.55