Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.86 / $166.86 / $166.86	Facility		$166.86	$166.86	$166.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.77 / $166.86 / $166.86	Professional		$139.77	$166.86	$166.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.64 / $158.91 / $198.65	Professional		$68.64	$158.91	$198.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.91 / $158.91 / $158.91	Facility		$149.91	$158.91	$158.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Professional		$158.91	$158.91	$158.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $139.77 / $166.86 / $242.07	Facility		$139.77	$166.86	$242.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.72 / $65.72 / $65.72	Professional		$65.72	$65.72	$65.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.01 / $148.76 / $208.26	Professional		$119.01	$148.76	$208.26
United Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $158.91 / $158.91	Professional		$63.57	$158.91	$158.91