Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.88 / $118.88 / $118.88	Facility		$118.88	$118.88	$118.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.06 / $118.88 / $210.32	Professional		$108.06	$118.88	$210.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $171.07 / $254.60	Professional		$139.00	$171.07	$254.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $116.53 / $128.65	Facility		$106.97	$116.53	$128.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $144.43	Professional		$85.07	$85.07	$144.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.07 / $173.00 / $312.77	Facility		$89.07	$173.00	$312.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $145.00	Professional		$135.00	$135.00	$145.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.30 / $162.30 / $162.30	Professional		$162.30	$162.30	$162.30
United Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
United Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $106.90 / $135.38	Professional		$74.90	$106.90	$135.38