Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.32 / $105.09 / $425.77	Facility		$88.32	$105.09	$425.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $101.09 / $111.19	Professional		$89.18	$101.09	$111.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.30 / $103.54 / $176.65	Facility		$60.30	$103.54	$176.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $119.36 / $143.22	Professional		$100.09	$119.36	$143.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.42 / $100.09 / $116.34	Facility		$94.42	$100.09	$116.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $104.90	Professional		$100.09	$100.09	$104.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.37 / $100.09 / $170.20	Facility		$79.37	$100.09	$170.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.37 / $79.37 / $153.32	Professional		$79.37	$79.37	$153.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.99 / $105.31 / $126.28	Professional		$101.99	$105.31	$126.28
United Facility/Professional Professional Modifier Low / Median / High Price $85.08 / $106.10 / $120.11	Professional		$85.08	$106.10	$120.11