Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.63 / $428.40 / $428.40	Facility		$141.63	$428.40	$428.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $134.88 / $141.63	Professional		$132.88	$134.88	$141.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.14 / $275.14 / $275.14	Facility		$275.14	$275.14	$275.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $141.63 / $184.46	Professional		$134.88	$141.63	$184.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.25 / $134.88 / $134.88	Facility		$127.25	$134.88	$134.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $158.28 / $329.26	Facility		$136.22	$158.28	$329.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $158.28 / $158.28 / $158.28	Professional		$158.28	$158.28	$158.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.63 / $144.04 / $177.42	Professional		$141.63	$144.04	$177.42
United Facility/Professional Professional Modifier Low / Median / High Price $124.10 / $134.88 / $148.38	Professional		$124.10	$134.88	$148.38