Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $302.00	Professional		$141.25	$173.78	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $346.74 / $407.38	Professional		$181.97	$346.74	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $954.99	Facility		$229.09	$229.09	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $398.11	Professional		$165.96	$165.96	$398.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $891.25	Professional		$169.82	$223.87	$891.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $257.04 / $549.54	Facility		$165.96	$257.04	$549.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $229.09	Professional		$30.20	$30.20	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $177.83 / $416.87	Facility		$0.24	$177.83	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $213.80	Professional		$125.89	$169.82	$213.80