Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.60 / $169.60 / $169.60	Facility		$169.60	$169.60	$169.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.72 / $169.60 / $300.05	Professional		$162.72	$169.60	$300.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $226.93 / $363.22	Professional		$180.00	$226.93	$363.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.96 / $227.96 / $260.01	Facility		$227.96	$227.96	$260.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $206.06 / $227.96	Professional		$166.41	$206.06	$227.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.49 / $246.00 / $554.46	Facility		$152.49	$246.00	$554.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $192.00 / $192.00	Professional		$192.00	$192.00	$192.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $231.55 / $231.55 / $231.55	Professional		$231.55	$231.55	$231.55
United Facility/Professional Professional Modifier Low / Median / High Price $113.97 / $163.33 / $228.81	Professional		$113.97	$163.33	$228.81