Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $263.03	Professional		$120.23	$194.98	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $186.21 / $331.13	Facility		$107.15	$186.21	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $147.91	Professional		$120.23	$120.23	$147.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $194.98 / $263.03	Facility		$123.03	$194.98	$263.03
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