Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.82 / $152.82 / $152.82	Facility		$152.82	$152.82	$152.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $152.82 / $270.36	Professional		$146.63	$152.82	$270.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $225.67 / $327.29	Professional		$179.00	$225.67	$327.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.52 / $225.30 / $248.76	Facility		$137.52	$225.30	$248.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $185.68 / $225.30	Professional		$164.47	$185.68	$225.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.40 / $222.00 / $484.90	Facility		$137.40	$222.00	$484.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $174.00 / $187.00	Professional		$174.00	$174.00	$187.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $208.64 / $208.64 / $208.64	Professional		$208.64	$208.64	$208.64
United Facility/Professional Facility Modifier Low / Median / High Price $383.64 / $383.64 / $383.64	Facility		$383.64	$383.64	$383.64
United Facility/Professional Professional Modifier Low / Median / High Price $102.69 / $147.16 / $193.51	Professional		$102.69	$147.16	$193.51