Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $163.24 / $192.05	Facility		$163.24	$163.24	$192.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $163.24 / $205.68	Professional		$163.24	$163.24	$205.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.88 / $261.70 / $463.16	Facility		$128.88	$261.70	$463.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $197.81 / $230.46	Professional		$169.00	$197.81	$230.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Facility		$179.39	$179.39	$179.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Professional		$179.39	$179.39	$179.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $179.56 / $220.37	Facility		$163.24	$179.56	$220.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.47 / $157.47 / $196.85	Professional		$157.47	$157.47	$196.85
United Facility/Professional Professional Modifier Low / Median / High Price $164.98 / $189.73 / $197.98	Professional		$164.98	$189.73	$197.98