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 $243.76 / $243.76 / $293.33	Professional		$243.76	$243.76	$293.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.21 / $159.21 / $175.78	Facility		$159.21	$159.21	$175.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $146.59 / $159.21	Professional		$116.22	$146.59	$159.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $178.37 / $394.42	Facility		$108.47	$178.37	$394.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $178.37 / $178.37 / $178.37	Professional		$178.37	$178.37	$178.37
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 $81.88 / $121.61 / $183.23	Professional		$81.88	$121.61	$183.23