Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.30 / $121.30 / $121.30	Facility		$121.30	$121.30	$121.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $121.30 / $214.59	Professional		$106.65	$121.30	$214.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $179.03 / $259.99	Professional		$142.00	$179.03	$259.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.15 / $126.23 / $139.38	Facility		$109.15	$126.23	$139.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $126.23 / $147.38	Professional		$92.15	$126.23	$147.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.05 / $176.00 / $348.57	Facility		$109.05	$176.00	$348.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $138.00 / $148.00	Professional		$138.00	$138.00	$148.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.59 / $165.59 / $165.59	Professional		$165.59	$165.59	$165.59
United Facility/Professional Professional Modifier Low / Median / High Price $76.42 / $109.07 / $138.13	Professional		$76.42	$109.07	$138.13