Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.84 / $171.84 / $171.84	Facility		$171.84	$171.84	$171.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.65 / $171.84 / $178.13	Professional		$167.65	$171.84	$178.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.01 / $137.72 / $167.14	Professional		$120.01	$137.72	$167.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Facility		$178.13	$178.13	$178.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Professional		$178.13	$178.13	$178.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $171.84 / $199.08 / $288.69	Facility		$171.84	$199.08	$288.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.08 / $199.08 / $199.08	Professional		$199.08	$199.08	$199.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.74 / $157.74 / $165.62	Professional		$157.74	$157.74	$165.62
United Facility/Professional Professional Modifier Low / Median / High Price $186.67 / $202.90 / $223.19	Professional		$186.67	$202.90	$223.19