Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.04 / $126.04 / $126.04	Facility		$126.04	$126.04	$126.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $126.04 / $132.36	Professional		$29.08	$126.04	$132.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.51 / $32.52 / $35.33	Facility		$30.51	$32.52	$35.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $109.53 / $149.78	Professional		$109.53	$109.53	$149.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.18 / $131.72 / $203.32	Professional		$107.18	$131.72	$203.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.30 / $116.76 / $151.25	Facility		$31.30	$116.76	$151.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.83 / $128.99 / $174.79	Professional		$101.83	$128.99	$174.79
United Facility/Professional Professional Modifier Low / Median / High Price $84.72 / $112.68 / $172.80	Professional		$84.72	$112.68	$172.80