Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $269.15	Professional		$131.83	$162.18	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $309.03 / $363.08	Professional		$177.83	$309.03	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $223.87 / $524.81	Facility		$138.04	$223.87	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $426.58	Professional		$165.96	$165.96	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $190.55	Professional		$144.54	$173.78	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $218.78 / $501.19	Facility		$141.25	$218.78	$501.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $93.33	Professional		$91.20	$91.20	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $208.93	Professional		$30.20	$30.20	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $177.83 / $389.05	Facility		$141.25	$177.83	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $194.98	Professional		$117.49	$151.36	$194.98