Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $147.60 / $147.60	Facility		$147.60	$147.60	$147.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $147.60 / $153.00	Professional		$144.00	$147.60	$153.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.57 / $185.40 / $225.00	Professional		$161.57	$185.40	$225.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $171.00 / $247.97	Facility		$147.60	$171.00	$247.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $171.00 / $171.00	Professional		$171.00	$171.00	$171.00
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 Facility Modifier Low / Median / High Price $297.00 / $297.00 / $297.00	Facility		$297.00	$297.00	$297.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $180.00 / $198.00	Professional		$165.60	$180.00	$198.00