Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $575.44 / $630.96	Facility		$158.49	$575.44	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $218.78	Professional		$151.36	$162.18	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $229.09	Professional		$162.18	$199.53	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $190.55 / $213.80	Facility		$158.49	$190.55	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $162.18 / $204.17	Professional		$30.20	$162.18	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $177.83	Professional		$158.49	$158.49	$177.83