Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.91 / $175.91 / $175.91	Facility		$175.91	$175.91	$175.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.78 / $175.91 / $311.20	Professional		$168.78	$175.91	$311.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $259.70 / $376.73	Professional		$206.00	$259.70	$376.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.30 / $243.89 / $269.29	Facility		$158.30	$243.89	$269.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.04 / $178.04 / $238.66	Professional		$178.04	$178.04	$238.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.16 / $255.00 / $558.17	Facility		$158.16	$255.00	$558.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $215.00	Professional		$200.00	$200.00	$215.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $240.16 / $240.16 / $240.16	Professional		$240.16	$240.16	$240.16
United Facility/Professional Professional Modifier Low / Median / High Price $120.07 / $175.73 / $239.03	Professional		$120.07	$175.73	$239.03