Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.93 / $171.93 / $171.93	Facility		$171.93	$171.93	$171.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.29 / $171.93 / $304.18	Professional		$156.29	$171.93	$304.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $151.29 / $361.28	Professional		$120.00	$151.29	$361.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $192.91 / $212.99	Facility		$192.91	$192.91	$212.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $192.91 / $208.89	Professional		$140.82	$192.91	$208.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.58 / $243.71 / $545.55	Facility		$154.58	$243.71	$545.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $243.71	Professional		$243.71	$243.71	$243.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.73 / $234.73 / $234.73	Professional		$234.73	$234.73	$234.73
United Facility/Professional Professional Modifier Low / Median / High Price $115.54 / $164.92 / $208.89	Professional		$115.54	$164.92	$208.89