Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $165.96	Professional		$100.00	$123.03	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $223.87	Professional		$120.23	$165.96	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $208.93 / $724.44	Facility		$204.17	$208.93	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $323.59	Professional		$123.03	$173.78	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $223.87	Professional		$213.80	$213.80	$223.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $154.88 / $263.03	Facility		$100.00	$154.88	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $229.09	Professional		$112.20	$138.04	$229.09