Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.68 / $168.68 / $168.68	Facility		$168.68	$168.68	$168.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.85 / $168.68 / $298.43	Professional		$161.85	$168.68	$298.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $252.15 / $361.26	Professional		$200.00	$252.15	$361.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.79 / $229.50 / $253.39	Facility		$151.79	$229.50	$253.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $229.50 / $243.27	Professional		$167.54	$229.50	$243.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.66 / $245.00 / $535.24	Facility		$151.66	$245.00	$535.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $192.00 / $206.00	Professional		$192.00	$192.00	$206.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $230.29 / $230.29 / $230.29	Professional		$230.29	$230.29	$230.29
United Facility/Professional Professional Modifier Low / Median / High Price $115.14 / $168.51 / $229.21	Professional		$115.14	$168.51	$229.21