Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.91 / $114.91 / $114.91	Facility		$114.91	$114.91	$114.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $114.91 / $374.23	Professional		$109.44	$114.91	$374.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $579.66 / $1,924.78	Professional		$109.44	$579.66	$1,924.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.24 / $109.44 / $109.44	Facility		$103.24	$109.44	$109.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Professional		$109.44	$109.44	$109.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.91 / $380.65 / $838.28	Facility		$114.91	$380.65	$838.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $380.65 / $380.65 / $380.65	Professional		$380.65	$380.65	$380.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $136.61 / $268.42	Professional		$55.00	$136.61	$268.42
United Facility/Professional Professional Modifier Low / Median / High Price $100.68 / $109.44 / $120.38	Professional		$100.68	$109.44	$120.38