Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.54 / $103.54 / $103.54	Facility		$103.54	$103.54	$103.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.43 / $103.54 / $172.27	Professional		$97.43	$103.54	$172.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $170.19 / $245.34	Professional		$135.00	$170.19	$245.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.10 / $159.22 / $175.79	Facility		$103.10	$159.22	$175.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $139.19 / $159.22	Professional		$116.23	$139.19	$159.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $166.00 / $363.50	Facility		$103.00	$166.00	$363.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $130.00 / $140.00	Professional		$130.00	$130.00	$140.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.40 / $156.40 / $156.40	Professional		$156.40	$156.40	$156.40
United Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $114.44 / $168.29	Professional		$77.75	$114.44	$168.29