Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.71 / $169.71 / $169.71	Facility		$169.71	$169.71	$169.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $169.71 / $303.61	Professional		$161.62	$169.71	$303.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $223.05 / $249.86	Professional		$161.62	$223.05	$249.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.47 / $161.62 / $161.62	Facility		$152.47	$161.62	$161.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $161.62	Professional		$161.62	$161.62	$161.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $169.71 / $195.17 / $446.65	Facility		$169.71	$195.17	$446.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $183.47 / $183.47	Professional		$183.47	$183.47	$183.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $168.92 / $226.27	Professional		$161.62	$168.92	$226.27
United Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $161.62 / $177.78	Professional		$148.69	$161.62	$177.78