Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $158.49	Professional		$79.43	$107.15	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $213.80	Professional		$107.15	$181.97	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $112.20 / $323.59	Facility		$81.28	$112.20	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $251.19	Professional		$81.28	$81.28	$251.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $141.25	Professional		$100.00	$128.82	$141.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $154.88 / $323.59	Facility		$91.20	$154.88	$323.59
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 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $112.20 / $245.47	Facility		$89.13	$112.20	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $120.23	Professional		$69.18	$89.13	$120.23