Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $309.03	Professional		$154.88	$194.98	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $354.81 / $416.87	Professional		$204.17	$354.81	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $245.47 / $630.96	Facility		$158.49	$245.47	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $436.52	Professional		$177.83	$177.83	$436.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $218.78 / $245.47	Professional		$208.93	$218.78	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $288.40 / $588.84	Facility		$177.83	$288.40	$588.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $114.82	Professional		$112.20	$112.20	$114.82
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 $173.78 / $208.93 / $478.63	Facility		$173.78	$208.93	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $239.88	Professional		$138.04	$177.83	$239.88