Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.52 / $121.52 / $121.52	Facility		$121.52	$121.52	$121.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.94 / $121.52 / $133.09	Professional		$93.94	$121.52	$133.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.99 / $159.59 / $276.05	Professional		$151.99	$159.59	$276.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.12 / $178.12 / $178.12	Facility		$178.12	$178.12	$178.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $62.01 / $62.01	Professional		$62.01	$62.01	$62.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.47 / $137.88 / $265.02	Facility		$93.47	$137.88	$265.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.97 / $95.97 / $95.97	Professional		$95.97	$95.97	$95.97
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 $50.55 / $73.14 / $94.04	Professional		$50.55	$73.14	$94.04