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 $126.00 / $153.00 / $250.92	Facility		$126.00	$153.00	$250.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $126.00 / $126.00	Professional		$126.00	$126.00	$126.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $147.60 / $154.97	Professional		$147.60	$147.60	$154.97
United Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $180.00 / $198.00	Professional		$165.60	$180.00	$198.00