Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $162.18	Professional		$91.20	$107.15	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $275.42	Professional		$141.25	$223.87	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $346.74	Facility		$169.82	$169.82	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $251.19	Professional		$144.54	$144.54	$251.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $158.49 / $338.84	Facility		$97.72	$158.49	$338.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $141.25	Professional		$63.10	$63.10	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $147.91	Professional		$30.20	$30.20	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $144.54 / $263.03	Facility		$0.15	$144.54	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $147.91	Professional		$79.43	$109.65	$147.91