Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $128.82	Professional		$67.61	$85.11	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $190.55	Professional		$95.50	$158.49	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $100.00 / $288.40	Facility		$70.79	$100.00	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $186.21	Professional		$72.44	$72.44	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $107.15 / $109.65	Professional		$100.00	$107.15	$109.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $123.03 / $257.04	Facility		$70.79	$123.03	$257.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $52.48	Professional		$51.29	$51.29	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $107.15	Professional		$30.20	$30.20	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $120.23 / $218.78	Facility		$102.33	$120.23	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $120.23	Professional		$61.66	$79.43	$120.23