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 $151.36 / $199.53 / $302.00	Professional		$151.36	$199.53	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $407.38	Professional		$199.53	$346.74	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $213.80 / $630.96	Facility		$154.88	$213.80	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $446.68	Professional		$158.49	$158.49	$446.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $234.42 / $257.04	Professional		$229.09	$234.42	$257.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $288.40 / $588.84	Facility		$169.82	$288.40	$588.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $112.20	Professional		$109.65	$109.65	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $234.42	Professional		$30.20	$30.20	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $213.80 / $467.74	Facility		$169.82	$213.80	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $229.09	Professional		$131.83	$173.78	$229.09