Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.12 / $156.97 / $156.97	Facility		$79.12	$156.97	$156.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.12 / $156.97 / $196.92	Professional		$79.12	$156.97	$196.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.44 / $69.48 / $157.46	Facility		$35.44	$69.48	$157.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.96 / $111.32 / $133.58	Professional		$97.96	$111.32	$133.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Facility		$172.37	$172.37	$172.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Professional		$172.37	$172.37	$172.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.48 / $156.97 / $211.92	Facility		$56.48	$156.97	$211.92
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 $149.63 / $153.90 / $176.99	Professional		$149.63	$153.90	$176.99