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 / $186.21 / $269.15	Professional		$151.36	$186.21	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $389.05 / $457.09	Professional		$363.08	$389.05	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $302.00 / $549.54	Facility		$77.62	$302.00	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $436.52	Professional		$257.04	$257.04	$436.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $263.03	Professional		$173.78	$234.42	$263.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $275.42 / $575.44	Facility		$162.18	$275.42	$575.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $112.20	Professional		$109.65	$109.65	$112.20
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 $0.27 / $223.87 / $269.15	Facility		$0.27	$223.87	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $257.04	Professional		$141.25	$177.83	$257.04