Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.19 / $96.19 / $96.19	Facility		$96.19	$96.19	$96.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.29 / $96.19 / $170.18	Professional		$92.29	$96.19	$170.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $142.46 / $206.02	Professional		$113.00	$142.46	$206.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.57 / $119.29 / $131.69	Facility		$86.57	$119.29	$131.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $87.08 / $161.12	Professional		$87.08	$87.08	$161.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.49 / $140.00 / $305.23	Facility		$86.49	$140.00	$305.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $109.00 / $117.00	Professional		$109.00	$109.00	$117.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.33 / $131.33 / $131.33	Professional		$131.33	$131.33	$131.33
United Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $95.24 / $128.38	Professional		$64.64	$95.24	$128.38