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 $75.86 / $97.72 / $169.82	Professional		$75.86	$97.72	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $186.21 / $223.87	Professional		$91.20	$186.21	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $107.15 / $309.03	Facility		$25.12	$107.15	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $223.87	Professional		$77.62	$77.62	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $125.89	Professional		$97.72	$112.20	$125.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $141.25 / $302.00	Facility		$93.33	$141.25	$302.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $131.83	Professional		$30.20	$30.20	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $100.00 / $234.42	Facility		$0.14	$100.00	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $120.23	Professional		$70.79	$95.50	$120.23