Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.77 / $87.77 / $87.77	Facility		$87.77	$87.77	$87.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $87.77 / $112.99	Professional		$81.56	$87.77	$112.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.75 / $262.24 / $344.66	Professional		$249.75	$262.24	$344.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $34.29 / $78.11	Professional		$27.27	$34.29	$78.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.77 / $89.80 / $158.16	Facility		$87.77	$89.80	$158.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $308.52 / $308.52 / $308.52	Professional		$308.52	$308.52	$308.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $324.68 / $324.68 / $324.68	Professional		$324.68	$324.68	$324.68
United Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $250.00 / $475.00	Professional		$67.70	$250.00	$475.00