Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $190.55	Professional		$93.33	$117.49	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $257.04	Professional		$125.89	$218.78	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $134.90 / $398.11	Facility		$95.50	$134.90	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $263.03	Professional		$100.00	$100.00	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $158.49	Professional		$112.20	$144.54	$158.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $177.83 / $363.08	Facility		$107.15	$177.83	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $147.91	Professional		$30.20	$30.20	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $134.90 / $295.12	Facility		$85.11	$134.90	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $144.54	Professional		$83.18	$107.15	$144.54