Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.32 / $112.32 / $112.32	Facility		$112.32	$112.32	$112.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.24 / $106.97 / $112.32	Professional		$95.24	$106.97	$112.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.97 / $112.05 / $134.46	Professional		$101.97	$112.05	$134.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.91 / $106.97 / $106.97	Facility		$100.91	$106.97	$106.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.97 / $112.05 / $160.81	Facility		$56.97	$112.05	$160.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $106.45 / $106.45 / $106.45	Professional		$106.45	$106.45	$106.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $64.75 / $106.97	Professional		$30.00	$64.75	$106.97
United Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $106.97 / $117.67	Professional		$99.25	$106.97	$117.67