Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.04 / $112.04 / $112.04	Facility		$112.04	$112.04	$112.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $112.04 / $339.19	Professional		$106.70	$112.04	$339.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $74.84 / $117.47	Facility		$59.90	$74.84	$117.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $261.36 / $324.33	Professional		$106.70	$261.36	$324.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.66 / $106.70 / $106.70	Facility		$100.66	$106.70	$106.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Professional		$106.70	$106.70	$106.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.04 / $167.68 / $564.00	Facility		$112.04	$167.68	$564.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $167.68 / $167.68 / $167.68	Professional		$167.68	$167.68	$167.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.37 / $48.75 / $112.03	Professional		$39.37	$48.75	$112.03
United Facility/Professional Professional Modifier Low / Median / High Price $96.03 / $106.70 / $142.03	Professional		$96.03	$106.70	$142.03