Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $181.97	Professional		$87.10	$120.23	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $245.47	Professional		$120.23	$208.93	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $144.54 / $363.08	Facility		$91.20	$144.54	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $281.84	Professional		$104.71	$104.71	$281.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $165.96	Professional		$100.00	$151.36	$165.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $173.78 / $323.59	Facility		$102.33	$173.78	$323.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $64.57	Professional		$63.10	$63.10	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $138.04	Professional		$30.20	$30.20	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $117.49 / $269.15	Facility		$87.10	$117.49	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $134.90	Professional		$77.62	$102.33	$134.90