Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.61 / $100.61 / $406.77	Facility		$100.61	$100.61	$406.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.61 / $104.30 / $104.30	Professional		$100.61	$104.30	$104.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $5.84 / $188.40	Facility		$5.16	$5.84	$188.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.98 / $122.70 / $147.24	Professional		$107.98	$122.70	$147.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Facility		$108.39	$108.39	$108.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Professional		$108.39	$108.39	$108.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $100.61 / $135.82	Facility		$4.38	$100.61	$135.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $27.55 / $140.60	Professional		$22.04	$27.55	$140.60
United Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $122.70 / $122.70	Professional		$122.70	$122.70	$122.70