Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.99 / $129.99 / $129.99	Facility		$129.99	$129.99	$129.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $129.99 / $229.50	Professional		$123.80	$129.99	$229.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $228.00 / $276.95	Professional		$123.80	$228.00	$276.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.79 / $123.80 / $123.80	Facility		$116.79	$123.80	$123.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Professional		$123.80	$123.80	$123.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $129.99 / $220.98 / $304.74	Facility		$129.99	$220.98	$304.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $250.33 / $250.33 / $250.33	Professional		$250.33	$250.33	$250.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $129.99 / $230.56	Professional		$123.80	$129.99	$230.56
United Facility/Professional Professional Modifier Low / Median / High Price $113.90 / $123.80 / $136.18	Professional		$113.90	$123.80	$136.18