Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.97 / $89.97 / $363.75	Facility		$89.97	$89.97	$363.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.39 / $89.97 / $109.50	Professional		$81.39	$89.97	$109.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.47 / $183.23 / $308.08	Facility		$85.47	$183.23	$308.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $112.00 / $112.00	Facility		$112.00	$112.00	$112.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.93 / $117.93 / $117.93	Professional		$117.93	$117.93	$117.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.02 / $86.42 / $107.96	Facility		$83.02	$86.42	$107.96
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 $66.70 / $88.15 / $128.63	Professional		$66.70	$88.15	$128.63