Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.73 / $114.73 / $114.73	Facility		$114.73	$114.73	$114.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.73 / $114.73 / $202.97	Professional		$114.73	$114.73	$202.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $170.19 / $245.71	Professional		$135.00	$170.19	$245.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.23 / $144.84 / $144.84	Facility		$103.23	$144.84	$144.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $105.73 / $147.11	Professional		$105.73	$105.73	$147.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.15 / $167.00 / $364.04	Facility		$103.15	$167.00	$364.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $130.00 / $140.00	Professional		$130.00	$130.00	$140.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.63 / $156.63 / $156.63	Professional		$156.63	$156.63	$156.63
United Facility/Professional Professional Modifier Low / Median / High Price $78.39 / $114.61 / $154.88	Professional		$78.39	$114.61	$154.88