Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.71 / $116.71 / $116.71	Facility		$116.71	$116.71	$116.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $116.71 / $335.16	Professional		$111.15	$116.71	$335.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $445.99 / $546.97	Professional		$111.15	$445.99	$546.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.86 / $111.15 / $111.15	Facility		$104.86	$111.15	$111.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Professional		$111.15	$111.15	$111.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $116.71 / $331.80 / $539.27	Facility		$116.71	$331.80	$539.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $331.80 / $331.80 / $331.80	Professional		$331.80	$331.80	$331.80
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 $102.26 / $111.15 / $122.27	Professional		$102.26	$111.15	$122.27