Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.22 / $154.22 / $154.22	Facility		$154.22	$154.22	$154.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.97 / $154.22 / $195.20	Professional		$132.97	$154.22	$195.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $270.10 / $340.40	Professional		$216.00	$270.10	$340.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.47 / $178.86 / $178.86	Facility		$143.47	$178.86	$178.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $152.03 / $303.75	Professional		$152.03	$152.03	$303.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $132.97 / $154.22 / $202.80	Facility		$132.97	$154.22	$202.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $248.00 / $248.00	Professional		$248.00	$248.00	$248.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $110.61 / $191.53	Professional		$14.36	$110.61	$191.53
United Facility/Professional Professional Modifier Low / Median / High Price $85.34 / $112.10 / $197.64	Professional		$85.34	$112.10	$197.64