Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.47 / $139.47 / $139.47	Facility		$139.47	$139.47	$139.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.01 / $139.47 / $208.20	Professional		$120.01	$139.47	$208.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.26 / $314.45 / $472.77	Facility		$156.26	$314.45	$472.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.91 / $123.81 / $165.86	Professional		$117.91	$123.81	$165.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.63 / $53.63 / $53.63	Facility		$53.63	$53.63	$53.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $192.52 / $285.98	Professional		$129.69	$192.52	$285.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.35 / $150.36 / $266.38	Facility		$121.35	$150.36	$266.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $120.94 / $189.79	Professional		$45.41	$120.94	$189.79
United Facility/Professional Professional Modifier Low / Median / High Price $117.27 / $152.30 / $318.77	Professional		$117.27	$152.30	$318.77