Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.73 / $122.27 / $743.40	Facility		$109.73	$122.27	$743.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.27 / $122.27 / $136.37	Professional		$122.27	$122.27	$136.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $164.59 / $216.32	Professional		$156.75	$164.59	$216.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $284.88 / $386.16 / $893.78	Facility		$284.88	$386.16	$893.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $120.70 / $156.75 / $198.08	Facility		$120.70	$156.75	$198.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $156.75 / $156.75 / $156.75	Facility		$156.75	$156.75	$156.75
United Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $89.41 / $142.74	Professional		$65.84	$89.41	$142.74