Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $208.93	Professional		$100.00	$141.25	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $107.15 / $144.54	Professional		$100.00	$107.15	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $478.63 / $478.63	Facility		$354.81	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $478.63	Professional		$407.38	$407.38	$478.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $363.08	Professional		$281.84	$281.84	$363.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $204.17 / $537.03	Facility		$104.71	$204.17	$537.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
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 $0.25 / $223.87 / $239.88	Facility		$0.25	$223.87	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $199.53 / $380.19	Professional		$93.33	$199.53	$380.19