Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.47 / $104.47 / $104.47	Facility		$104.47	$104.47	$104.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.23 / $104.47 / $184.82	Professional		$100.23	$104.47	$184.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $138.66 / $223.73	Professional		$110.00	$138.66	$223.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $140.54 / $155.16	Facility		$90.00	$140.54	$155.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $102.59 / $134.37	Professional		$102.59	$102.59	$134.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.92 / $158.61 / $331.49	Facility		$93.92	$158.61	$331.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $122.00 / $122.00	Professional		$122.00	$122.00	$122.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $142.62 / $142.62	Professional		$142.62	$142.62	$142.62
United Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $100.60 / $126.93	Professional		$70.20	$100.60	$126.93