Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.15 / $123.15 / $497.90	Facility		$123.15	$123.15	$497.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.15 / $127.65 / $127.65	Professional		$123.15	$127.65	$127.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.31 / $167.21 / $311.42	Facility		$87.31	$167.21	$311.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $150.18 / $180.22	Professional		$132.16	$150.18	$180.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Facility		$63.43	$63.43	$63.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Professional		$63.43	$63.43	$63.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.34 / $123.15 / $166.25	Facility		$43.34	$123.15	$166.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $125.15 / $125.15	Professional		$125.15	$125.15	$125.15