Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $204.17	Professional		$100.00	$134.90	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $275.42	Professional		$134.90	$234.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $165.96 / $426.58	Facility		$102.33	$165.96	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $295.12	Professional		$120.23	$120.23	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $190.55	Professional		$154.88	$173.78	$190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $199.53 / $426.58	Facility		$114.82	$199.53	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $154.88	Professional		$30.20	$30.20	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $144.54 / $316.23	Facility		$114.82	$144.54	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $154.88	Professional		$89.13	$114.82	$154.88