Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.93 / $117.93 / $117.93	Facility		$117.93	$117.93	$117.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $117.93 / $573.01	Professional		$112.32	$117.93	$573.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $614.25 / $778.91	Professional		$112.32	$614.25	$778.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.96 / $112.32 / $112.32	Facility		$105.96	$112.32	$112.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $112.32 / $112.32	Professional		$112.32	$112.32	$112.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.93 / $442.12 / $972.00	Facility		$117.93	$442.12	$972.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $513.54 / $513.54 / $513.54	Professional		$513.54	$513.54	$513.54
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 $103.33 / $112.32 / $123.55	Professional		$103.33	$112.32	$123.55