Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.22 / $100.22 / $100.22	Facility		$100.22	$100.22	$100.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.22 / $112.16 / $33,907.19	Professional		$100.22	$112.16	$33,907.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $105.00 / $175.83	Professional		$100.00	$105.00	$175.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.61 / $482.61 / $482.61	Facility		$482.61	$482.61	$482.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $410.22 / $482.61	Professional		$410.22	$410.22	$482.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.22 / $161.40 / $418.98	Facility		$100.22	$161.40	$418.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $391.15 / $391.15 / $391.15	Professional		$391.15	$391.15	$391.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.04 / $152.32 / $349.69	Professional		$100.04	$152.32	$349.69