Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $169.82	Professional		$134.90	$169.82	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $446.68 / $954.99	Facility		$218.78	$446.68	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $181.97 / $363.08	Facility		$173.78	$181.97	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,258.93 / $1,659.59	Facility		$1,096.48	$1,258.93	$1,659.59