Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.42 / $166.42 / $166.42	Facility		$166.42	$166.42	$166.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.16 / $166.42 / $276.89	Professional		$157.16	$166.42	$276.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $283.67 / $400.21	Professional		$225.00	$283.67	$400.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $239.35 / $264.26	Facility		$239.35	$239.35	$264.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $174.73 / $234.20	Professional		$174.73	$174.73	$234.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.85 / $271.39 / $584.25	Facility		$162.85	$271.39	$584.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $272.22 / $272.22 / $272.22	Professional		$272.22	$272.22	$272.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.37 / $251.37 / $251.37	Professional		$251.37	$251.37	$251.37
United Facility/Professional Professional Modifier Low / Median / High Price $137.41 / $183.94 / $254.10	Professional		$137.41	$183.94	$254.10