Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $128.82	Professional		$107.15	$125.89	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $186.21	Professional		$151.36	$162.18	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $134.90 / $186.21	Facility		$83.18	$134.90	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $54.95 / $131.83	Professional		$5.89	$54.95	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $128.82 / $128.82	Professional		$58.88	$128.82	$128.82