Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $158.96	Facility		$141.25	$141.25	$158.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.41 / $259.29 / $457.74	Facility		$145.41	$259.29	$457.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.88 / $158.96 / $190.75	Professional		$139.88	$158.96	$190.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Facility		$148.50	$148.50	$148.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $155.38 / $190.69	Facility		$141.25	$155.38	$190.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.96 / $158.96 / $182.80	Professional		$158.96	$158.96	$182.80