Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.12 / $125.12 / $125.12	Facility		$125.12	$125.12	$125.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.72 / $125.12 / $208.17	Professional		$121.72	$125.12	$208.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $208.03 / $296.47	Professional		$165.00	$208.03	$296.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.57 / $174.77 / $192.97	Facility		$124.57	$174.77	$192.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $168.19 / $174.77	Professional		$127.58	$168.19	$174.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $124.46 / $201.00 / $439.26	Facility		$124.46	$201.00	$439.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $157.00 / $169.00	Professional		$157.00	$157.00	$169.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $189.00 / $189.00	Professional		$189.00	$189.00	$189.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.95 / $139.54 / $210.24	Professional		$93.95	$139.54	$210.24