Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $123.03	Professional		$67.61	$79.43	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $194.98	Professional		$100.00	$169.82	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $97.72 / $263.03	Facility		$74.13	$97.72	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $173.78	Professional		$70.79	$70.79	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $97.72	Professional		$79.43	$87.10	$97.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $123.03 / $263.03	Facility		$74.13	$123.03	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $47.86	Professional		$46.77	$46.77	$47.86
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 $89.13 / $109.65 / $199.53	Facility		$89.13	$109.65	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $112.20	Professional		$60.26	$83.18	$112.20