Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $131.83	Professional		$77.62	$104.71	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $165.96 / $218.78	Professional		$154.88	$165.96	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $141.25 / $263.03	Facility		$93.33	$141.25	$263.03
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 Professional Modifier Low / Median / High Price $53.70 / $75.86 / $93.33	Professional		$53.70	$75.86	$93.33