Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.34 / $128.34 / $128.34	Facility		$128.34	$128.34	$128.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $128.16 / $141.40	Professional		$102.42	$128.16	$141.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.72 / $314.45 / $472.77	Facility		$163.72	$314.45	$472.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.24 / $124.15 / $163.16	Professional		$118.24	$124.15	$163.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.96 / $136.96 / $136.96	Facility		$136.96	$136.96	$136.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.63 / $148.27 / $242.30	Professional		$86.63	$148.27	$242.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.56 / $128.34 / $236.12	Facility		$96.56	$128.34	$236.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $89.86 / $169.80	Professional		$59.90	$89.86	$169.80
United Facility/Professional Professional Modifier Low / Median / High Price $89.76 / $136.88 / $220.65	Professional		$89.76	$136.88	$220.65