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 $151.36 / $177.83 / $269.15	Professional		$151.36	$177.83	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $389.05 / $501.19	Professional		$371.54	$389.05	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $575.44	Facility		$229.09	$229.09	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $416.87	Professional		$169.82	$169.82	$416.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $234.42	Professional		$181.97	$181.97	$234.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $263.03 / $575.44	Facility		$162.18	$263.03	$575.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $104.71	Professional		$102.33	$102.33	$104.71
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 $0.25 / $239.88 / $436.52	Facility		$0.25	$239.88	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $245.47	Professional		$131.83	$177.83	$245.47