Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.76 / $152.76 / $152.76	Facility		$152.76	$152.76	$152.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.62 / $145.49 / $152.76	Professional		$119.62	$145.49	$152.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $194.94 / $249.25	Professional		$145.49	$194.94	$249.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.25 / $145.49 / $145.49	Facility		$137.25	$145.49	$145.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $145.49	Professional		$145.49	$145.49	$145.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $136.62 / $190.95 / $259.69	Facility		$136.62	$190.95	$259.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $205.20 / $205.20 / $205.20	Professional		$205.20	$205.20	$205.20
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 $133.85 / $145.49 / $160.04	Professional		$133.85	$145.49	$160.04