Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.46 / $88.72 / $504.00	Professional		$82.46	$88.72	$504.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $615.00 / $980.00	Facility		$385.00	$615.00	$980.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $25.23	Professional		$20.00	$20.00	$25.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.77 / $101.77 / $101.77	Facility		$101.77	$101.77	$101.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $97.87 / $187.24	Professional		$71.81	$97.87	$187.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $90.09 / $135.77	Facility		$35.00	$90.09	$135.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $81.12 / $120.00	Professional		$35.00	$81.12	$120.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $36.27	Professional		$30.00	$30.00	$36.27
United Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $77.14 / $121.74	Professional		$64.18	$77.14	$121.74