Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $309.03	Professional		$147.91	$181.97	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $354.81 / $426.58	Professional		$194.98	$354.81	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $199.53 / $562.34	Facility		$75.86	$199.53	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $407.38	Professional		$144.54	$144.54	$407.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $229.09	Professional		$177.83	$208.93	$229.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $263.03 / $562.34	Facility		$169.82	$263.03	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $102.33	Professional		$100.00	$100.00	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $239.88	Professional		$30.20	$30.20	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $0.25 / $186.21 / $426.58	Facility		$0.25	$186.21	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $223.87	Professional		$131.83	$177.83	$223.87