Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.08 / $108.08 / $430.82	Facility		$108.08	$108.08	$430.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.08 / $122.80 / $141.53	Professional		$108.08	$122.80	$141.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.32 / $190.80 / $312.26	Facility		$111.32	$190.80	$312.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $168.96 / $209.67	Professional		$102.94	$168.96	$209.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.11 / $102.94 / $102.94	Facility		$97.11	$102.94	$102.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $108.08 / $129.69 / $192.00	Facility		$108.08	$129.69	$192.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $234.85 / $234.85 / $234.85	Professional		$234.85	$234.85	$234.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $126.86 / $170.66	Professional		$101.49	$126.86	$170.66
United Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $102.93 / $221.30	Facility		$102.93	$102.93	$221.30
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94