Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.21 / $177.21 / $177.21	Facility		$177.21	$177.21	$177.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.03 / $177.21 / $313.50	Professional		$170.03	$177.21	$313.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $264.75 / $379.51	Professional		$210.00	$264.75	$379.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.46 / $227.07 / $250.70	Facility		$159.46	$227.07	$250.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $215.31 / $227.07	Professional		$165.76	$215.31	$227.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $159.32 / $257.00 / $562.29	Facility		$159.32	$257.00	$562.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $201.00 / $216.00	Professional		$201.00	$201.00	$216.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $241.93 / $241.93 / $241.93	Professional		$241.93	$241.93	$241.93
United Facility/Professional Professional Modifier Low / Median / High Price $120.96 / $177.02 / $240.80	Professional		$120.96	$177.02	$240.80