Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.22 / $99.22 / $99.22	Facility		$99.22	$99.22	$99.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $100.43 / $102.85	Professional		$96.80	$100.43	$102.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.92 / $119.92 / $119.92	Facility		$119.92	$119.92	$119.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.61 / $124.63 / $151.25	Professional		$108.61	$124.63	$151.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Facility		$102.85	$102.85	$102.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Professional		$102.85	$102.85	$102.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $99.22 / $109.54 / $166.69	Facility		$99.22	$109.54	$166.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.54 / $109.54 / $109.54	Professional		$109.54	$109.54	$109.54
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 $102.88 / $110.00 / $117.70	Professional		$102.88	$110.00	$117.70