Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $309.03	Professional		$158.49	$204.17	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $363.08 / $436.52	Professional		$213.80	$363.08	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $275.42 / $676.08	Facility		$162.18	$275.42	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $467.74	Professional		$199.53	$199.53	$467.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $245.47	Professional		$181.97	$218.78	$245.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $275.42 / $616.60	Facility		$162.18	$275.42	$616.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $120.23	Professional		$117.49	$117.49	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $245.47	Professional		$30.20	$30.20	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $275.42 / $501.19	Facility		$239.88	$275.42	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $275.42	Professional		$141.25	$181.97	$275.42