Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.38 / $164.38 / $164.38	Facility		$164.38	$164.38	$164.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.65 / $164.38 / $192.69	Professional		$116.65	$164.38	$192.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $84.05 / $189.78	Facility		$35.70	$84.05	$189.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.96 / $183.96 / $292.01	Facility		$183.96	$183.96	$292.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Professional		$183.96	$183.96	$183.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.61 / $139.85 / $332.67	Facility		$3.61	$139.85	$332.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $3.61 / $70.65	Professional		$3.61	$3.61	$70.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $35.00	Professional		$30.00	$30.00	$35.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.79 / $215.05 / $217.20	Professional		$182.79	$215.05	$217.20