Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.81 / $159.81 / $159.81	Facility		$159.81	$159.81	$159.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $159.81 / $161.86	Professional		$113.09	$159.81	$161.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $57.88 / $87.20	Facility		$24.27	$57.88	$87.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.18 / $50.23 / $146.90	Professional		$40.18	$50.23	$146.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $182.29	Professional		$182.29	$182.29	$182.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $159.81 / $283.91	Facility		$35.00	$159.81	$283.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $627.54 / $627.54 / $627.54	Professional		$627.54	$627.54	$627.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.59 / $217.35 / $371.91	Professional		$149.59	$217.35	$371.91