Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $190.55	Professional		$97.72	$131.83	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $269.15	Professional		$128.82	$223.87	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $194.98 / $407.38	Facility		$100.00	$194.98	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $309.03	Professional		$141.25	$141.25	$309.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $151.36 / $158.49	Professional		$144.54	$151.36	$158.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $177.83 / $363.08	Facility		$100.00	$177.83	$363.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $74.13	Professional		$72.44	$72.44	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $169.82 / $309.03	Facility		$147.91	$169.82	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $169.82	Professional		$87.10	$112.20	$169.82