Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.20 / $126.20 / $126.20	Facility		$126.20	$126.20	$126.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.53 / $406.77 / $672.34	Facility		$218.53	$406.77	$672.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.64 / $413.60 / $667.61	Facility		$332.64	$413.60	$667.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.51 / $103.51 / $103.51	Professional		$103.51	$103.51	$103.51
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 $47.92 / $47.92 / $47.92	Professional		$47.92	$47.92	$47.92