Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $131.83	Professional		$75.86	$107.15	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $208.93	Professional		$104.71	$177.83	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $112.20 / $316.23	Facility		$77.62	$112.20	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $239.88	Professional		$83.18	$83.18	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $1,230.27	Professional		$107.15	$117.49	$1,230.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $134.90 / $281.84	Facility		$79.43	$134.90	$281.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $57.54	Professional		$56.23	$56.23	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $117.49	Professional		$30.20	$30.20	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $131.83 / $239.88	Facility		$75.86	$131.83	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $131.83	Professional		$69.18	$87.10	$131.83