Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.72 / $160.72 / $160.72	Facility		$160.72	$160.72	$160.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.81 / $160.72 / $267.39	Professional		$154.81	$160.72	$267.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $264.75 / $380.83	Professional		$210.00	$264.75	$380.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.81 / $271.68 / $299.95	Facility		$76.81	$271.68	$299.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $216.05 / $271.68	Professional		$198.33	$216.05	$271.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $159.87 / $258.00 / $564.23	Facility		$159.87	$258.00	$564.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $202.00 / $217.00	Professional		$202.00	$202.00	$217.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $242.76 / $242.76 / $242.76	Professional		$242.76	$242.76	$242.76
United Facility/Professional Professional Modifier Low / Median / High Price $119.49 / $177.64 / $253.73	Professional		$119.49	$177.64	$253.73