Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.31 / $117.31 / $117.31	Facility		$117.31	$117.31	$117.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.80 / $117.31 / $128.47	Professional		$75.80	$117.31	$128.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $123.07 / $175.83	Professional		$91.00	$123.07	$175.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.47 / $88.15 / $88.15	Facility		$79.47	$88.15	$88.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $88.15 / $108.90	Professional		$74.93	$88.15	$108.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $126.04 / $230.44	Facility		$81.70	$126.04	$230.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $97.00	Professional		$95.00	$95.00	$97.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $46.99 / $72.59 / $94.40	Facility		$46.99	$72.59	$94.40
United Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $68.91 / $84.02	Professional		$48.72	$68.91	$84.02