Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $234.42	Professional		$120.23	$154.88	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $281.84 / $331.13	Professional		$165.96	$281.84	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $173.78 / $524.81	Facility		$125.89	$173.78	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $323.59	Professional		$128.82	$128.82	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $239.88	Professional		$158.49	$213.80	$239.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $229.09 / $524.81	Facility		$125.89	$229.09	$524.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $91.20	Professional		$89.13	$89.13	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $190.55	Professional		$30.20	$30.20	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $208.93 / $380.19	Facility		$186.21	$208.93	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $208.93	Professional		$109.65	$138.04	$208.93