Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.10 / $133.10 / $133.10	Facility		$133.10	$133.10	$133.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.95 / $133.10 / $235.49	Professional		$112.95	$133.10	$235.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $196.68 / $285.07	Professional		$156.00	$196.68	$285.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.78 / $136.19 / $150.38	Facility		$119.78	$136.19	$150.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $136.19 / $161.72	Professional		$99.43	$136.19	$161.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.90 / $193.00 / $422.35	Facility		$99.90	$193.00	$422.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $151.00 / $162.00	Professional		$151.00	$151.00	$162.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.72 / $181.72 / $181.72	Professional		$181.72	$181.72	$181.72
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $83.86 / $119.69 / $151.58	Professional		$83.86	$119.69	$151.58