Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $295.12	Professional		$131.83	$177.83	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $407.38	Professional		$199.53	$338.84	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $190.55 / $537.03	Facility		$151.36	$190.55	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $398.11	Professional		$138.04	$138.04	$398.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $194.98 / $204.17	Professional		$181.97	$194.98	$204.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $257.04 / $537.03	Facility		$154.88	$257.04	$537.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $97.72	Professional		$95.50	$95.50	$97.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $229.09	Professional		$30.20	$30.20	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $177.83 / $416.87	Facility		$125.89	$177.83	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $213.80	Professional		$125.89	$169.82	$213.80