Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $138.04 / $138.04	Professional		$131.83	$138.04	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $239.88 / $467.74	Facility		$93.33	$239.88	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $199.53	Professional		$141.25	$173.78	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $177.83 / $177.83	Facility		$128.82	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $151.36 / $407.38	Facility		$87.10	$151.36	$407.38
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 $138.04 / $144.54 / $295.12	Facility		$138.04	$144.54	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $158.49 / $199.53	Professional		$138.04	$158.49	$199.53