Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.26 / $175.26 / $175.26	Facility		$175.26	$175.26	$175.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.16 / $175.26 / $310.06	Professional		$168.16	$175.26	$310.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $232.61 / $371.81	Professional		$175.00	$232.61	$371.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.98 / $212.98 / $235.14	Facility		$212.98	$212.98	$235.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $242.00 / $298.63	Professional		$155.47	$242.00	$298.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $157.57 / $259.12 / $556.12	Facility		$157.57	$259.12	$556.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $259.12 / $259.12 / $259.12	Professional		$259.12	$259.12	$259.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.26 / $239.26 / $239.26	Professional		$239.26	$239.26	$239.26
United Facility/Professional Professional Modifier Low / Median / High Price $117.77 / $167.93 / $212.95	Professional		$117.77	$167.93	$212.95