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 $95.50 / $109.65 / $204.17	Professional		$95.50	$109.65	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $63.10 / $104.71	Facility		$36.31	$63.10	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $95.50 / $128.82	Professional		$19.95	$95.50	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $208.93	Professional		$109.65	$131.83	$208.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $120.23 / $208.93	Facility		$97.72	$120.23	$208.93
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 $158.49 / $181.97 / $239.88	Facility		$158.49	$181.97	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $186.21	Professional		$95.50	$117.49	$186.21