Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $117.49	Professional		$79.43	$79.43	$117.49
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
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $114.82 / $162.18	Facility		$95.50	$114.82	$162.18
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