Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.48 / $106.48 / $106.48	Facility		$106.48	$106.48	$106.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $113.12 / $143.12	Professional		$102.60	$113.12	$143.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.91 / $150.21 / $205.41	Professional		$118.91	$150.21	$205.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $145.22 / $145.22	Professional		$145.22	$145.22	$145.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.24 / $124.63 / $217.44	Facility		$87.24	$124.63	$217.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.63 / $124.63 / $124.63	Professional		$124.63	$124.63	$124.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.67 / $139.19 / $174.40	Professional		$106.67	$139.19	$174.40
United Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $137.33 / $248.81	Professional		$112.28	$137.33	$248.81