Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.94 / $145.94 / $145.94	Facility		$145.94	$145.94	$145.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $145.94 / $151.27	Professional		$142.38	$145.94	$151.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.06 / $102.20 / $124.03	Professional		$89.06	$102.20	$124.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Professional		$151.27	$151.27	$151.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.58 / $145.94 / $208.94	Facility		$124.58	$145.94	$208.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.58 / $124.58 / $124.58	Professional		$124.58	$124.58	$124.58
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 $151.27 / $161.79 / $173.12	Professional		$151.27	$161.79	$173.12