Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.83 / $117.83 / $117.83	Facility		$117.83	$117.83	$117.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.97 / $117.83 / $129.04	Professional		$86.97	$117.83	$129.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.37 / $154.74 / $267.26	Professional		$147.37	$154.74	$267.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.70 / $172.70 / $172.70	Facility		$172.70	$172.70	$172.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $60.12	Professional		$60.12	$60.12	$60.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.83 / $144.88 / $268.44	Facility		$117.83	$144.88	$268.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $148.75 / $148.75 / $148.75	Professional		$148.75	$148.75	$148.75
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 $49.01 / $67.98 / $81.04	Professional		$49.01	$67.98	$81.04