Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.32 / $153.32 / $153.32	Facility		$153.32	$153.32	$153.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $153.32 / $255.09	Professional		$147.69	$153.32	$255.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.00 / $258.45 / $364.64	Professional		$205.00	$258.45	$364.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.28 / $220.51 / $243.46	Facility		$73.28	$220.51	$243.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $206.10 / $220.51	Professional		$160.97	$206.10	$220.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $152.52 / $246.00 / $538.26	Facility		$152.52	$246.00	$538.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $193.00 / $193.00 / $207.00	Professional		$193.00	$193.00	$207.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $231.60 / $231.60 / $231.60	Professional		$231.60	$231.60	$231.60
United Facility/Professional Professional Modifier Low / Median / High Price $119.72 / $169.46 / $230.38	Professional		$119.72	$169.46	$230.38