Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.64 / $164.64 / $164.64	Facility		$164.64	$164.64	$164.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.37 / $164.64 / $273.91	Professional		$158.37	$164.64	$273.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $271.06 / $390.11	Professional		$215.00	$271.06	$390.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.91 / $292.48 / $322.93	Facility		$163.91	$292.48	$322.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $221.32 / $292.48	Professional		$213.51	$221.32	$292.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $163.77 / $264.00 / $577.98	Facility		$163.77	$264.00	$577.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $207.00 / $222.00	Professional		$207.00	$207.00	$222.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.68 / $248.68 / $248.68	Professional		$248.68	$248.68	$248.68
United Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $181.96 / $273.55	Professional		$123.62	$181.96	$273.55