Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.83 / $310.05 / $349.77	Facility		$134.83	$310.05	$349.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.15 / $134.83 / $169.88	Professional		$121.15	$134.83	$169.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.87 / $120.11 / $148.63	Facility		$63.87	$120.11	$148.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $155.66 / $181.37	Professional		$133.00	$155.66	$181.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Facility		$148.32	$148.32	$148.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Professional		$148.32	$148.32	$148.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.73 / $148.31 / $182.02	Facility		$102.73	$148.31	$182.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.09 / $127.61 / $162.58	Professional		$102.09	$127.61	$162.58
United Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $145.66 / $158.91	Professional		$132.43	$145.66	$158.91