Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.60 / $212.60 / $212.60	Facility		$212.60	$212.60	$212.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.71 / $212.60 / $232.83	Professional		$115.71	$212.60	$232.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.89 / $276.91 / $486.89	Professional		$265.89	$276.91	$486.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.93 / $187.93 / $311.60	Facility		$187.93	$187.93	$311.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $135.78 / $135.78	Professional		$135.78	$135.78	$135.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $185.45 / $233.86 / $463.65	Facility		$185.45	$233.86	$463.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $171.00 / $171.00	Professional		$171.00	$171.00	$171.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.44 / $126.74 / $159.86	Professional		$88.44	$126.74	$159.86