Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.41 / $135.41 / $135.41	Facility		$135.41	$135.41	$135.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $135.41 / $239.57	Professional		$135.41	$135.41	$239.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $196.91 / $290.02	Professional		$160.00	$196.91	$290.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.85 / $170.96 / $188.76	Facility		$121.85	$170.96	$188.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $179.74	Professional		$124.80	$124.80	$179.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $121.75 / $196.00 / $429.69	Facility		$121.75	$196.00	$429.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $154.00 / $165.00	Professional		$154.00	$154.00	$165.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.87 / $184.87 / $184.87	Professional		$184.87	$184.87	$184.87
United Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $135.28 / $184.01	Professional		$92.43	$135.28	$184.01