Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $87.10 / $151.36	Professional		$50.12	$87.10	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $380.19 / $724.44	Facility		$251.19	$380.19	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $100.00 / $134.90	Facility		$87.10	$100.00	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $1,949.84	Facility		$1,288.25	$1,479.11	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $154.88 / $257.04	Professional		$39.81	$154.88	$257.04