Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.65 / $168.65 / $168.65	Facility		$168.65	$168.65	$168.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $168.65 / $298.37	Professional		$161.82	$168.65	$298.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $249.62 / $361.20	Professional		$198.00	$249.62	$361.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.74 / $189.91 / $209.67	Facility		$151.74	$189.91	$209.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $189.91 / $204.90	Professional		$138.63	$189.91	$204.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $150.27 / $245.00 / $535.14	Facility		$150.27	$245.00	$535.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $192.00 / $206.00	Professional		$192.00	$192.00	$206.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $230.24 / $230.24 / $230.24	Professional		$230.24	$230.24	$230.24
United Facility/Professional Professional Modifier Low / Median / High Price $116.83 / $164.26 / $204.90	Professional		$116.83	$164.26	$204.90