Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.68 / $142.68 / $142.68	Facility		$142.68	$142.68	$142.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $142.68 / $147.90	Professional		$139.19	$142.68	$147.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.12 / $174.00 / $208.80	Professional		$153.12	$174.00	$208.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Facility		$147.90	$147.90	$147.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.20 / $144.41 / $239.70	Facility		$34.20	$144.41	$239.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $34.20 / $34.20	Professional		$34.20	$34.20	$34.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $142.68 / $149.81	Professional		$29.52	$142.68	$149.81
United Facility/Professional Professional Modifier Low / Median / High Price $133.40 / $145.00 / $159.50	Professional		$133.40	$145.00	$159.50