Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.04 / $109.04 / $109.04	Facility		$109.04	$109.04	$109.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.08 / $109.04 / $181.42	Professional		$106.08	$109.04	$181.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $182.81 / $258.39	Professional		$145.00	$182.81	$258.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.56 / $184.91 / $204.14	Facility		$108.56	$184.91	$204.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $146.59 / $184.91	Professional		$134.97	$146.59	$184.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $175.00 / $382.82	Facility		$108.47	$175.00	$382.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $137.00 / $147.00	Professional		$137.00	$137.00	$147.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.71 / $164.71 / $164.71	Professional		$164.71	$164.71	$164.71
United Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $121.61 / $183.23	Professional		$92.80	$121.61	$183.23