Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.53 / $123.53 / $123.53	Facility		$123.53	$123.53	$123.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.53 / $123.53 / $218.55	Professional		$123.53	$123.53	$218.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $182.81 / $264.57	Professional		$145.00	$182.81	$264.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.16 / $185.61 / $204.93	Facility		$111.16	$185.61	$204.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $150.09 / $185.61	Professional		$135.50	$150.09	$185.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $111.07 / $179.00 / $391.97	Facility		$111.07	$179.00	$391.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $140.00 / $151.00	Professional		$140.00	$140.00	$151.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $168.65 / $168.65	Professional		$168.65	$168.65	$168.65
United Facility/Professional Facility Modifier Low / Median / High Price $195.26 / $195.26 / $195.26	Facility		$195.26	$195.26	$195.26
United Facility/Professional Professional Modifier Low / Median / High Price $84.32 / $123.41 / $157.97	Professional		$84.32	$123.41	$157.97