Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.08 / $106.08 / $132.59	Facility		$106.08	$106.08	$132.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $106.08 / $108.34	Professional		$101.03	$106.08	$108.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.86 / $152.04 / $252.38	Facility		$84.86	$152.04	$252.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $148.88 / $171.81	Professional		$101.03	$148.88	$171.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.31 / $101.03 / $101.03	Facility		$95.31	$101.03	$101.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Professional		$101.03	$101.03	$101.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $59.81 / $113.48 / $221.50	Facility		$59.81	$113.48	$221.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.81 / $59.81 / $59.81	Professional		$59.81	$59.81	$59.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.46 / $110.73 / $137.10	Professional		$103.46	$110.73	$137.10
United Facility/Professional Professional Modifier Low / Median / High Price $92.95 / $101.03 / $111.13	Professional		$92.95	$101.03	$111.13