Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $239.88	Professional		$114.82	$151.36	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $323.59	Professional		$158.49	$275.42	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $190.55 / $467.74	Facility		$123.03	$190.55	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $346.74	Professional		$138.04	$138.04	$346.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $194.98	Professional		$138.04	$177.83	$194.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $218.78 / $446.68	Facility		$134.90	$218.78	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $354.81	Facility		$128.82	$151.36	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $173.78	Professional		$104.71	$134.90	$173.78