Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $169.82	Professional		$81.28	$100.00	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $245.47	Professional		$120.23	$199.53	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $309.03	Facility		$112.20	$112.20	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $223.87	Professional		$81.28	$81.28	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $125.89	Professional		$97.72	$97.72	$125.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $141.25 / $316.23	Facility		$93.33	$141.25	$316.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $56.23	Professional		$54.95	$54.95	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $131.83	Professional		$30.20	$30.20	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $102.33 / $234.42	Facility		$0.14	$102.33	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $123.03	Professional		$72.44	$97.72	$123.03