Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $208.93	Professional		$77.62	$114.82	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $239.88 / $281.84	Professional		$138.04	$239.88	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $117.49 / $323.59	Facility		$107.15	$117.49	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $208.93	Professional		$85.11	$85.11	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $120.23	Professional		$107.15	$107.15	$120.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $162.18 / $316.23	Facility		$95.50	$162.18	$316.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $162.18	Professional		$30.20	$30.20	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $102.33 / $245.47	Facility		$77.62	$102.33	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $144.54	Professional		$74.13	$114.82	$144.54