Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.44 / $157.44 / $636.53	Facility		$157.44	$157.44	$636.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $163.19 / $163.19	Professional		$157.44	$163.19	$163.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.06 / $211.10 / $340.95	Facility		$140.06	$211.10	$340.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $192.00 / $230.40	Professional		$163.19	$192.00	$230.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $192.00	Facility		$163.19	$163.19	$192.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $157.44 / $188.93 / $212.54	Facility		$157.44	$188.93	$212.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $291.36 / $291.36	Professional		$291.36	$291.36	$291.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.60 / $162.04 / $202.55	Professional		$161.60	$162.04	$202.55
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $160.00	Professional		$160.00	$160.00	$160.00