Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.12 / $125.12 / $125.12	Facility		$125.12	$125.12	$125.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.12 / $125.12 / $233.99	Professional		$125.12	$125.12	$233.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $151.29 / $296.25	Professional		$120.00	$151.29	$296.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.82 / $211.82 / $233.88	Facility		$211.82	$211.82	$233.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $211.82 / $211.82	Professional		$154.63	$211.82	$211.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $212.70 / $466.87	Facility		$69.56	$212.70	$466.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $271.88 / $271.88 / $271.88	Professional		$271.88	$271.88	$271.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.73 / $234.73 / $234.73	Professional		$234.73	$234.73	$234.73
United Facility/Professional Professional Modifier Low / Median / High Price $115.54 / $166.86 / $232.06	Professional		$115.54	$166.86	$232.06