Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $229.09	Professional		$123.03	$158.49	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $346.74	Professional		$173.78	$295.12	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $165.96 / $478.63	Facility		$131.83	$165.96	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $380.19	Professional		$120.23	$120.23	$380.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $177.83	Professional		$134.90	$158.49	$177.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $218.78 / $467.74	Facility		$131.83	$218.78	$467.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $87.10	Professional		$85.11	$85.11	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $199.53	Professional		$30.20	$30.20	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $199.53 / $363.08	Facility		$134.90	$199.53	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $147.91 / $204.17	Professional		$109.65	$147.91	$204.17