Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.80 / $106.80 / $106.80	Facility		$106.80	$106.80	$106.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.41 / $101.72 / $106.80	Professional		$95.41	$101.72	$106.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.93 / $134.93 / $134.93	Facility		$134.93	$134.93	$134.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $101.72 / $126.75	Professional		$98.54	$101.72	$126.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.96 / $101.72 / $101.72	Facility		$95.96	$101.72	$101.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Professional		$101.72	$101.72	$101.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $167.11 / $270.57	Facility		$101.72	$167.11	$270.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $180.50 / $180.50 / $180.50	Professional		$180.50	$180.50	$180.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.75 / $107.28 / $132.83	Professional		$105.75	$107.28	$132.83
United Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $101.72 / $111.89	Professional		$96.63	$101.72	$111.89