Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.35 / $101.35 / $101.35	Facility		$101.35	$101.35	$101.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.25 / $101.35 / $179.31	Professional		$97.25	$101.35	$179.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $147.68 / $217.07	Professional		$120.00	$147.68	$217.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.51 / $116.51 / $128.63	Facility		$116.51	$116.51	$128.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $116.50 / $123.16	Professional		$85.05	$116.50	$123.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.53 / $149.86 / $331.35	Facility		$86.53	$149.86	$331.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $149.86 / $149.86 / $149.86	Professional		$149.86	$149.86	$149.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.37 / $138.37 / $138.37	Professional		$138.37	$138.37	$138.37
United Facility/Professional Facility Modifier Low / Median / High Price $63.05 / $105.48 / $140.13	Facility		$63.05	$105.48	$140.13
United Facility/Professional Professional Modifier Low / Median / High Price $68.11 / $97.61 / $125.39	Professional		$68.11	$97.61	$125.39