Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $169.82	Professional		$81.28	$112.20	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $229.09	Professional		$112.20	$194.98	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $120.23 / $338.84	Facility		$87.10	$120.23	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $263.03	Professional		$87.10	$87.10	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $128.82	Professional		$95.50	$114.82	$128.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $151.36 / $331.13	Facility		$93.33	$151.36	$331.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $61.66	Professional		$60.26	$60.26	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $131.83	Professional		$30.20	$30.20	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $112.20 / $257.04	Facility		$93.33	$112.20	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $128.82	Professional		$74.13	$95.50	$128.82