Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $234.42	Professional		$131.83	$181.97	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $363.08	Professional		$181.97	$309.03	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $263.03 / $575.44	Facility		$66.07	$263.03	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $416.87	Professional		$194.98	$194.98	$416.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $186.21 / $208.93	Professional		$181.97	$186.21	$208.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $234.42 / $501.19	Facility		$138.04	$234.42	$501.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $208.93	Professional		$30.20	$30.20	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $229.09 / $416.87	Facility		$186.21	$229.09	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $229.09	Professional		$120.23	$154.88	$229.09