Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.25 / $100.25 / $100.25	Facility		$100.25	$100.25	$100.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $100.25 / $126.90	Professional		$84.93	$100.25	$126.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.64 / $215.94 / $259.86	Professional		$172.64	$215.94	$259.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.86 / $123.50 / $134.41	Facility		$104.86	$123.50	$134.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $123.50 / $134.41	Professional		$12.35	$123.50	$134.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.76 / $120.30 / $285.19	Facility		$91.76	$120.30	$285.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Professional		$175.00	$175.00	$175.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $112.37 / $143.85	Professional		$14.39	$112.37	$143.85
United Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $85.55 / $150.71	Professional		$60.00	$85.55	$150.71