Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.29 / $191.29 / $191.29	Facility		$191.29	$191.29	$191.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.55 / $182.18 / $191.29	Professional		$126.55	$182.18	$191.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.07 / $187.34 / $227.73	Professional		$169.07	$187.34	$227.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.87 / $182.18 / $182.18	Facility		$171.87	$182.18	$182.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Professional		$182.18	$182.18	$182.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $248.68 / $457.30	Facility		$178.13	$248.68	$457.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $425.13 / $425.13 / $425.13	Professional		$425.13	$425.13	$425.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.37 / $182.18 / $191.28	Professional		$97.37	$182.18	$191.28
United Facility/Professional Professional Modifier Low / Median / High Price $167.61 / $182.18 / $200.40	Professional		$167.61	$182.18	$200.40