Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.54 / $131.54 / $131.54	Facility		$131.54	$131.54	$131.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.81 / $131.54 / $143.54	Professional		$105.81	$131.54	$143.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $881.24 / $881.24 / $881.24	Facility		$881.24	$881.24	$881.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.76 / $217.80 / $297.17	Professional		$167.76	$217.80	$297.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.11 / $204.11 / $930.72	Facility		$204.11	$204.11	$930.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.90 / $204.68 / $359.66	Professional		$158.90	$204.68	$359.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $131.54 / $222.00 / $372.26	Facility		$131.54	$222.00	$372.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $578.53 / $578.53 / $578.53	Professional		$578.53	$578.53	$578.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.81 / $57.09	Professional		$32.34	$38.81	$57.09
United Facility/Professional Professional Modifier Low / Median / High Price $121.67 / $180.93 / $300.44	Professional		$121.67	$180.93	$300.44