Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.75 / $116.75 / $116.75	Facility		$116.75	$116.75	$116.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.75 / $116.75 / $194.25	Professional		$116.75	$116.75	$194.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $195.41 / $276.64	Professional		$155.00	$195.41	$276.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.24 / $225.10 / $248.52	Facility		$116.24	$225.10	$248.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $164.32 / $225.10	Professional		$164.32	$164.32	$225.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.14 / $187.00 / $409.88	Facility		$116.14	$187.00	$409.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $147.00 / $158.00	Professional		$147.00	$147.00	$158.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.35 / $176.35 / $176.35	Professional		$176.35	$176.35	$176.35
United Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $196.18 / $206.16	Facility		$0.21	$196.18	$206.16
United Facility/Professional Professional Modifier Low / Median / High Price $99.36 / $130.21 / $196.18	Professional		$99.36	$130.21	$196.18