Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.80 / $128.80 / $128.80	Facility		$128.80	$128.80	$128.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.58 / $128.80 / $227.87	Professional		$123.58	$128.80	$227.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $190.36 / $275.83	Professional		$151.00	$190.36	$275.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $159.91 / $176.56	Facility		$115.90	$159.91	$176.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $116.74 / $214.38	Professional		$116.74	$116.74	$214.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $115.80 / $187.00 / $408.69	Facility		$115.80	$187.00	$408.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $146.00 / $157.00	Professional		$146.00	$146.00	$157.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $175.84 / $175.84 / $175.84	Professional		$175.84	$175.84	$175.84
United Facility/Professional Professional Modifier Low / Median / High Price $86.55 / $127.68 / $168.71	Professional		$86.55	$127.68	$168.71