Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.25 / $133.25 / $538.73	Facility		$133.25	$133.25	$538.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.25 / $138.13 / $138.13	Professional		$133.25	$138.13	$138.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.28 / $171.16 / $187.20	Facility		$151.28	$171.16	$187.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $162.50 / $195.00	Professional		$143.00	$162.50	$195.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Facility		$137.80	$137.80	$137.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Professional		$137.80	$137.80	$137.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.03 / $146.58 / $179.89	Facility		$121.03	$146.58	$179.89
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 $332.96 / $332.96 / $332.96	Professional		$332.96	$332.96	$332.96