Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.80 / $155.80 / $155.80	Facility		$155.80	$155.80	$155.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.53 / $155.80 / $157.69	Professional		$116.53	$155.80	$157.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $77.25 / $93.75	Professional		$67.31	$77.25	$93.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Facility		$161.50	$161.50	$161.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Professional		$161.50	$161.50	$161.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $165.54 / $239.80	Facility		$75.20	$165.54	$239.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $75.20 / $75.20	Professional		$75.20	$75.20	$75.20
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 $150.76 / $167.51 / $179.24	Professional		$150.76	$167.51	$179.24