Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.71 / $184.71 / $184.71	Facility		$184.71	$184.71	$184.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $184.71 / $202.29	Professional		$141.60	$184.71	$202.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.02 / $242.57 / $418.48	Professional		$231.02	$242.57	$418.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.73 / $270.73 / $270.73	Facility		$270.73	$270.73	$270.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $94.26 / $94.26	Professional		$94.26	$94.26	$94.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $156.21 / $218.22 / $402.84	Facility		$156.21	$218.22	$402.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.18 / $177.18 / $177.18	Professional		$177.18	$177.18	$177.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $110.12 / $133.40	Professional		$76.84	$110.12	$133.40