Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.06 / $169.06 / $169.06	Facility		$169.06	$169.06	$169.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.21 / $169.06 / $299.08	Professional		$162.21	$169.06	$299.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $246.14 / $362.06	Professional		$200.00	$246.14	$362.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.13 / $205.09 / $226.43	Facility		$152.13	$205.09	$226.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $205.09 / $205.43	Professional		$149.72	$205.09	$205.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.00 / $245.00 / $536.42	Facility		$152.00	$245.00	$536.42
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 $230.81 / $230.81 / $230.81	Professional		$230.81	$230.81	$230.81
United Facility/Professional Professional Modifier Low / Median / High Price $113.60 / $162.82 / $213.23	Professional		$113.60	$162.82	$213.23