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 $135.03 / $230.69 / $375.13	Facility		$135.03	$230.69	$375.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Facility		$163.19	$163.19	$163.19
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
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.60 / $161.60 / $202.00	Professional		$161.60	$161.60	$202.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $160.00	Professional		$160.00	$160.00	$160.00