Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.82 / $144.82 / $144.82	Facility		$144.82	$144.82	$144.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $144.82 / $164.20	Professional		$137.93	$144.82	$164.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $144.82 / $188.62	Professional		$137.93	$144.82	$188.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.12 / $137.93 / $137.93	Facility		$130.12	$137.93	$137.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Professional		$137.93	$137.93	$137.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.82 / $160.65 / $324.39	Facility		$144.82	$160.65	$324.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $160.65 / $160.65 / $160.65	Professional		$160.65	$160.65	$160.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.90 / $137.93 / $151.72	Professional		$126.90	$137.93	$151.72