Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $245.47 / $331.13	Professional		$114.82	$245.47	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $173.78 / $331.13	Facility		$69.18	$173.78	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $245.47 / $426.58	Facility		$114.82	$245.47	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $707.95 / $1,096.48	Facility		$147.91	$707.95	$1,096.48