Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $177.83	Professional		$165.96	$173.78	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $134.90 / $154.88	Professional		$117.49	$134.90	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $204.17 / $295.12	Facility		$165.96	$204.17	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $162.18	Professional		$83.18	$87.10	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $204.17	Professional		$125.89	$186.21	$204.17