Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.87 / $103.87 / $103.87	Facility		$103.87	$103.87	$103.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.41 / $103.87 / $183.76	Professional		$94.41	$103.87	$183.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $166.14 / $237.37	Professional		$130.00	$166.14	$237.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $147.05 / $162.35	Facility		$27.22	$147.05	$162.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $107.35 / $132.12	Professional		$107.35	$107.35	$132.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.38 / $151.00 / $329.59	Facility		$93.38	$151.00	$329.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $127.00	Professional		$118.00	$118.00	$127.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.80 / $141.80 / $141.80	Professional		$141.80	$141.80	$141.80
United Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $99.62 / $131.63	Professional		$69.80	$99.62	$131.63