Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.69 / $145.69 / $145.69	Facility		$145.69	$145.69	$145.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $145.69 / $242.40	Professional		$145.69	$145.69	$242.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $239.54 / $345.23	Professional		$190.00	$239.54	$345.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.05 / $203.51 / $224.69	Facility		$145.05	$203.51	$224.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $195.85 / $203.51	Professional		$148.56	$195.85	$203.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.93 / $234.00 / $511.48	Facility		$144.93	$234.00	$511.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $183.00 / $197.00	Professional		$183.00	$183.00	$197.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $220.07 / $220.07 / $220.07	Professional		$220.07	$220.07	$220.07
United Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $162.47 / $244.81	Professional		$124.00	$162.47	$244.81