Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.08 / $97.08 / $97.08	Facility		$97.08	$97.08	$97.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $97.08 / $171.76	Professional		$88.25	$97.08	$171.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $151.29 / $212.76	Professional		$120.00	$151.29	$212.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $123.90	Facility		$112.22	$112.22	$123.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $81.92 / $123.53	Professional		$81.92	$81.92	$123.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.29 / $137.62 / $308.06	Facility		$87.29	$137.62	$308.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $137.62 / $137.62 / $137.62	Professional		$137.62	$137.62	$137.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.55 / $132.55 / $132.55	Professional		$132.55	$132.55	$132.55
United Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $93.03 / $117.96	Professional		$65.23	$93.03	$117.96