Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.41 / $97.41 / $97.41	Facility		$97.41	$97.41	$97.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.75 / $97.41 / $162.06	Professional		$94.75	$97.41	$162.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $163.89 / $231.23	Professional		$130.00	$163.89	$231.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.98 / $140.85 / $155.51	Facility		$96.98	$140.85	$155.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $102.82 / $137.82	Professional		$102.82	$102.82	$137.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $96.89 / $156.00 / $341.96	Facility		$96.89	$156.00	$341.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $122.00 / $132.00	Professional		$122.00	$122.00	$132.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $147.13 / $147.13	Professional		$147.13	$147.13	$147.13
United Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $108.63 / $163.66	Professional		$73.14	$108.63	$163.66