Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.08 / $126.08 / $126.08	Facility		$126.08	$126.08	$126.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $126.08 / $127.61	Professional		$60.56	$126.08	$127.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.01 / $158.36 / $192.19	Professional		$138.01	$158.36	$192.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.88 / $126.08 / $176.51	Facility		$49.88	$126.08	$176.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $49.88 / $49.88	Professional		$49.88	$49.88	$49.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $58.43 / $132.38	Professional		$5.85	$58.43	$132.38
United Facility/Professional Professional Modifier Low / Median / High Price $121.72 / $128.13 / $140.94	Professional		$121.72	$128.13	$140.94