Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.84 / $161.84 / $161.84	Facility		$161.84	$161.84	$161.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.84 / $161.84 / $197.61	Professional		$161.84	$161.84	$197.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $990.67 / $2,137.36 / $3,593.83	Facility		$990.67	$2,137.36	$3,593.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,165.28 / $1,165.28 / $1,165.28	Facility		$1,165.28	$1,165.28	$1,165.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $161.84 / $190.37 / $275.13	Facility		$161.84	$190.37	$275.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,066.15 / $1,066.15 / $1,066.15	Professional		$1,066.15	$1,066.15	$1,066.15
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 Professional Modifier Low / Median / High Price $182.11 / $245.22 / $382.24	Professional		$182.11	$245.22	$382.24