Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.14 / $86.14 / $86.14	Facility		$86.14	$86.14	$86.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.14 / $86.14 / $143.31	Professional		$86.14	$86.14	$143.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $144.99 / $204.55	Professional		$115.00	$144.99	$204.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.76 / $126.98 / $140.19	Facility		$85.76	$126.98	$140.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $149.82	Professional		$92.70	$92.70	$149.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $85.68 / $138.00 / $302.39	Facility		$85.68	$138.00	$302.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $116.00	Professional		$108.00	$108.00	$116.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $130.10 / $130.10	Professional		$130.10	$130.10	$130.10
United Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $120.51 / $120.51	Facility		$120.51	$120.51	$120.51
United Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $96.06 / $144.72	Professional		$73.31	$96.06	$144.72