Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $245.47 / $316.23	Professional		$223.87	$245.47	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $223.87 / $223.87	Facility		$48.98	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $223.87	Professional		$162.18	$162.18	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $147.91 / $239.88	Facility		$141.25	$147.91	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $199.53 / $269.15	Facility		$0.28	$199.53	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $257.04	Professional		$114.82	$169.82	$257.04