Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.12 / $111.12 / $111.12	Facility		$111.12	$111.12	$111.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $111.12 / $196.60	Professional		$104.68	$111.12	$196.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $71.86 / $233.50	Professional		$57.00	$71.86	$233.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $138.68	Facility		$125.61	$125.61	$138.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $177.58 / $193.98	Professional		$91.70	$177.58	$193.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $168.72 / $354.46	Facility		$64.75	$168.72	$354.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $168.72 / $168.72 / $168.72	Professional		$168.72	$168.72	$168.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.71 / $151.71 / $151.71	Professional		$151.71	$151.71	$151.71
United Facility/Professional Professional Modifier Low / Median / High Price $74.68 / $107.02 / $144.62	Professional		$74.68	$107.02	$144.62