Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $125.89	Professional		$75.86	$100.00	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $213.80	Professional		$114.82	$141.25	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $114.82 / $144.54	Facility		$107.15	$114.82	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $190.55	Professional		$97.72	$114.82	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $104.71 / $263.03	Facility		$81.28	$104.71	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $61.66	Professional		$57.54	$57.54	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $74.13 / $117.49	Facility		$9.77	$74.13	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $134.90	Professional		$61.66	$91.20	$134.90