Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $181.97	Professional		$97.72	$123.03	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $275.42	Professional		$134.90	$234.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $158.49 / $398.11	Facility		$102.33	$158.49	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $288.40	Professional		$117.49	$117.49	$288.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $158.49	Professional		$141.25	$147.91	$158.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $181.97 / $389.05	Facility		$104.71	$181.97	$389.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $154.88	Professional		$30.20	$30.20	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $165.96 / $302.00	Facility		$107.15	$165.96	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $169.82	Professional		$91.20	$114.82	$169.82