Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $223.87	Professional		$128.82	$173.78	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $354.81	Professional		$173.78	$302.00	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $223.87 / $549.54	Facility		$134.90	$223.87	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $407.38	Professional		$165.96	$165.96	$407.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $213.80	Professional		$173.78	$194.98	$213.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $234.42 / $489.78	Facility		$134.90	$234.42	$489.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $223.87 / $407.38	Facility		$154.88	$223.87	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $223.87	Professional		$117.49	$151.36	$223.87