Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $125.50 / $147.65	Facility		$125.50	$125.50	$147.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $158.12	Professional		$125.50	$125.50	$158.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.35 / $191.61 / $336.45	Facility		$105.35	$191.61	$336.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.93 / $147.65 / $177.18	Professional		$129.93	$147.65	$177.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Facility		$137.94	$137.94	$137.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Professional		$137.94	$137.94	$137.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.99 / $125.50 / $169.43	Facility		$52.99	$125.50	$169.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $104.66 / $130.82	Professional		$104.66	$104.66	$130.82
United Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $147.65 / $177.18	Professional		$147.65	$147.65	$177.18