Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $158.49 / $158.49	Facility		$117.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $208.93	Professional		$112.20	$112.20	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $741.31	Professional		$117.49	$165.96	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $112.20 / $112.20	Facility		$107.15	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $138.04 / $977.24	Facility		$112.20	$138.04	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $812.83	Professional		$125.89	$177.83	$812.83