Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $157.57 / $243.84	Facility		$112.00	$157.57	$243.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.18 / $169.87 / $425.95	Professional		$151.18	$169.87	$425.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.51 / $258.45 / $369.24	Professional		$200.51	$258.45	$369.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $176.75 / $195.15	Facility		$176.75	$176.75	$195.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $176.75 / $212.70	Professional		$129.03	$176.75	$212.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.66 / $232.94 / $499.97	Facility		$141.66	$232.94	$499.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $232.94 / $232.94 / $232.94	Professional		$232.94	$232.94	$232.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $215.11 / $215.11 / $215.11	Professional		$215.11	$215.11	$215.11
United Facility/Professional Professional Modifier Low / Median / High Price $105.88 / $151.13 / $191.43	Professional		$105.88	$151.13	$191.43