Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.34 / $99.34 / $99.34	Facility		$99.34	$99.34	$99.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.34 / $99.34 / $165.28	Professional		$99.34	$99.34	$165.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $163.89 / $235.39	Professional		$130.00	$163.89	$235.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.91 / $138.76 / $153.19	Facility		$98.91	$138.76	$153.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $133.54 / $138.76	Professional		$101.29	$133.54	$138.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.82 / $160.00 / $348.76	Facility		$98.82	$160.00	$348.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $134.00	Professional		$125.00	$125.00	$134.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.06 / $150.06 / $150.06	Professional		$150.06	$150.06	$150.06
United Facility/Professional Facility Modifier Low / Median / High Price $296.08 / $296.08 / $296.08	Facility		$296.08	$296.08	$296.08
United Facility/Professional Professional Modifier Low / Median / High Price $84.55 / $110.79 / $166.92	Professional		$84.55	$110.79	$166.92