Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.45 / $99.45 / $99.45	Facility		$99.45	$99.45	$99.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $99.45 / $165.45	Professional		$99.45	$99.45	$165.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $163.89 / $235.64	Professional		$130.00	$163.89	$235.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.01 / $182.31 / $201.29	Facility		$99.01	$182.31	$201.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $133.68 / $182.31	Professional		$133.09	$133.68	$182.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $98.92 / $160.00 / $349.12	Facility		$98.92	$160.00	$349.12
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 $150.21 / $150.21 / $150.21	Professional		$150.21	$150.21	$150.21
United Facility/Professional Professional Modifier Low / Median / High Price $84.64 / $110.90 / $167.10	Professional		$84.64	$110.90	$167.10