Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.69 / $102.69 / $102.69	Facility		$102.69	$102.69	$102.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.31 / $110.28 / $131.18	Professional		$99.31	$110.28	$131.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.36 / $113.36 / $155.02	Professional		$113.36	$113.36	$155.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $135.56	Professional		$107.43	$107.43	$135.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.45 / $116.64 / $166.13	Facility		$89.45	$116.64	$166.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $127.79 / $127.79 / $127.79	Professional		$127.79	$127.79	$127.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $139.56 / $171.26	Professional		$108.32	$139.56	$171.26
United Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $138.91 / $207.20	Professional		$112.96	$138.91	$207.20