Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $107.15 / $117.49	Facility		$28.84	$107.15	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.81 / $45.71	Professional		$26.92	$39.81	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $186.21 / $309.03	Facility		$97.72	$186.21	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $489.78 / $676.08	Facility		$107.15	$489.78	$676.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $34.67 / $50.12	Facility		$28.84	$34.67	$50.12
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 Facility Modifier Low / Median / High Price $109.65 / $436.52 / $660.69	Facility		$109.65	$436.52	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $79.43	Professional		$36.31	$44.67	$79.43