Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $169.82	Professional		$83.18	$102.33	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $229.09	Professional		$112.20	$194.98	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $123.03 / $338.84	Facility		$85.11	$123.03	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $223.87	Professional		$91.20	$91.20	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $134.90	Professional		$123.03	$128.82	$134.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $158.49 / $309.03	Facility		$95.50	$158.49	$309.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $112.20 / $263.03	Facility		$95.50	$112.20	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $128.82	Professional		$74.13	$95.50	$128.82