Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.11 / $116.11 / $469.43	Facility		$116.11	$116.11	$469.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.11 / $120.36 / $120.36	Professional		$116.11	$120.36	$120.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.79 / $174.88 / $289.97	Facility		$95.79	$174.88	$289.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.61 / $141.60 / $169.92	Professional		$124.61	$141.60	$169.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.11 / $139.33 / $156.75	Facility		$116.11	$139.33	$156.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $172.43 / $172.43 / $172.43	Professional		$172.43	$172.43	$172.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.39 / $116.11 / $145.13	Professional		$114.39	$116.11	$145.13
United Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $121.54	Professional		$118.00	$118.00	$121.54