Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.77 / $104.77 / $104.77	Facility		$104.77	$104.77	$104.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.72 / $104.77 / $132.61	Professional		$79.72	$104.77	$132.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.04 / $215.16 / $258.92	Professional		$157.04	$215.16	$258.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.86 / $120.30 / $145.00	Facility		$104.86	$120.30	$145.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $120.30 / $148.61	Professional		$102.26	$120.30	$148.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $125.72 / $273.20	Facility		$85.00	$125.72	$273.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $221.90 / $221.90	Professional		$151.00	$221.90	$221.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $85.56 / $138.11	Professional		$11.40	$85.56	$138.11
United Facility/Professional Professional Modifier Low / Median / High Price $70.05 / $94.00 / $146.51	Professional		$70.05	$94.00	$146.51