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 $40.61 / $87.77 / $109.38	Professional		$40.61	$87.77	$109.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.95 / $336.60 / $696.05	Facility		$194.95	$336.60	$696.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.89 / $261.89 / $261.89	Facility		$261.89	$261.89	$261.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.18 / $273.18 / $273.18	Professional		$273.18	$273.18	$273.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $87.77 / $109.38	Facility		$44.95	$87.77	$109.38
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 $36.96 / $160.74 / $274.74	Professional		$36.96	$160.74	$274.74