Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $158.49	Facility		$107.15	$107.15	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $104.71 / $151.36	Professional		$93.33	$104.71	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $229.09 / $302.00	Facility		$162.18	$229.09	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $138.04	Professional		$67.61	$97.72	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $120.23	Facility		$70.79	$70.79	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $186.21	Professional		$70.79	$114.82	$186.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $112.20 / $177.83	Facility		$70.79	$112.20	$177.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $112.20	Facility		$102.33	$102.33	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $141.25	Professional		$61.66	$97.72	$141.25