Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.77 / $111.77 / $111.77	Facility		$111.77	$111.77	$111.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.77 / $111.77 / $197.75	Professional		$111.77	$111.77	$197.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $165.15 / $239.39	Professional		$131.00	$165.15	$239.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.59 / $141.12 / $155.82	Facility		$100.59	$141.12	$155.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $103.02 / $142.94	Professional		$103.02	$103.02	$142.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.49 / $162.00 / $354.67	Facility		$100.49	$162.00	$354.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $127.00 / $136.00	Professional		$127.00	$127.00	$136.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.60 / $152.60 / $152.60	Professional		$152.60	$152.60	$152.60
United Facility/Professional Facility Modifier Low / Median / High Price $150.50 / $150.50 / $150.50	Facility		$150.50	$150.50	$150.50
United Facility/Professional Professional Modifier Low / Median / High Price $76.30 / $110.17 / $142.94	Professional		$76.30	$110.17	$142.94