Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.33 / $108.33 / $108.33	Facility		$108.33	$108.33	$108.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.36 / $104.74 / $126.47	Professional		$98.36	$104.74	$126.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $60.81 / $102.24	Facility		$28.37	$60.81	$102.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $35.17 / $122.24	Professional		$20.00	$35.17	$122.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.61 / $136.94 / $212.06	Professional		$113.61	$136.94	$212.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.74 / $126.41 / $190.71	Facility		$104.74	$126.41	$190.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.09 / $113.27 / $169.60	Professional		$84.09	$113.27	$169.60
United Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $115.13 / $200.70	Professional		$99.01	$115.13	$200.70