Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.25 / $138.25 / $558.95	Facility		$138.25	$138.25	$558.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.25 / $138.25 / $143.31	Professional		$138.25	$138.25	$143.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.65 / $7.65 / $7.65	Facility		$7.65	$7.65	$7.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Facility		$143.31	$143.31	$143.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Professional		$143.31	$143.31	$143.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $138.25 / $165.90 / $186.64	Facility		$138.25	$165.90	$186.64
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 $140.50 / $140.50 / $154.55	Professional		$140.50	$140.50	$154.55