Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.48 / $84.49 / $91.52	Facility		$84.48	$84.49	$91.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $84.48 / $106.45	Professional		$78.09	$84.48	$106.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.57 / $166.16 / $290.67	Facility		$85.57	$166.16	$290.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.47 / $99.40 / $119.28	Professional		$87.47	$99.40	$119.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Facility		$92.77	$92.77	$92.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Professional		$92.77	$92.77	$92.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $99.40 / $124.89	Facility		$84.49	$99.40	$124.89
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 $82.83 / $95.25 / $130.53	Professional		$82.83	$95.25	$130.53