Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.42 / $109.42 / $109.42	Facility		$109.42	$109.42	$109.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.11 / $109.42 / $193.58	Professional		$97.11	$109.42	$193.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $161.37 / $234.33	Professional		$128.00	$161.37	$234.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.46 / $144.01 / $159.01	Facility		$98.46	$144.01	$159.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $132.94 / $144.01	Professional		$105.13	$132.94	$144.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.38 / $159.00 / $347.19	Facility		$98.38	$159.00	$347.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $124.00 / $134.00	Professional		$124.00	$124.00	$134.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $149.38 / $149.38	Professional		$149.38	$149.38	$149.38
United Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $101.61 / $132.91	Professional		$72.09	$101.61	$132.91