Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $156.90 / $176.28	Professional		$141.25	$156.90	$176.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $148.49 / $209.70	Professional		$120.00	$148.49	$209.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $149.69 / $149.69	Professional		$149.69	$149.69	$149.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $178.17 / $333.33	Facility		$141.25	$178.17	$333.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.29 / $175.71 / $268.87	Professional		$127.29	$175.71	$268.87
United Facility/Professional Professional Modifier Low / Median / High Price $159.50 / $219.09 / $369.86	Professional		$159.50	$219.09	$369.86