Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.46 / $142.46 / $142.46	Facility		$142.46	$142.46	$142.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.92 / $138.34 / $158.37	Professional		$127.92	$138.34	$158.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.99 / $221.57 / $371.45	Facility		$111.99	$221.57	$371.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.89 / $176.00 / $283.02	Professional		$127.89	$176.00	$283.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.91 / $157.91 / $275.20	Facility		$157.91	$157.91	$275.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.65 / $186.74 / $318.56	Professional		$144.65	$186.74	$318.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.34 / $169.10 / $252.53	Facility		$138.34	$169.10	$252.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.10 / $169.10 / $334.56	Professional		$169.10	$169.10	$334.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.77 / $153.59 / $244.03	Professional		$122.77	$153.59	$244.03
United Facility/Professional Professional Modifier Low / Median / High Price $118.67 / $146.61 / $242.27	Professional		$118.67	$146.61	$242.27