Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.99 / $170.99 / $170.99	Facility		$170.99	$170.99	$170.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.06 / $170.99 / $302.51	Professional		$164.06	$170.99	$302.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $246.14 / $366.21	Professional		$200.00	$246.14	$366.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.87 / $215.87 / $238.33	Facility		$153.87	$215.87	$238.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.59 / $207.76 / $215.87	Professional		$157.59	$207.76	$215.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $153.74 / $248.00 / $542.57	Facility		$153.74	$248.00	$542.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $194.00 / $194.00 / $209.00	Professional		$194.00	$194.00	$209.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.45 / $233.45 / $233.45	Professional		$233.45	$233.45	$233.45
United Facility/Professional Professional Modifier Low / Median / High Price $116.72 / $170.82 / $218.69	Professional		$116.72	$170.82	$218.69