Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $123.00	Facility		$123.00	$123.00	$123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $123.00 / $127.50	Professional		$120.00	$123.00	$127.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $154.50 / $187.50	Professional		$134.63	$154.50	$187.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $142.50 / $209.10	Facility		$123.00	$142.50	$209.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $142.50 / $142.50	Professional		$142.50	$142.50	$142.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $129.15	Professional		$30.00	$55.00	$129.15
United Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $150.00 / $160.50	Professional		$142.50	$150.00	$160.50