Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.81 / $87.81 / $87.81	Facility		$87.81	$87.81	$87.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $85.86 / $89.20	Professional		$78.93	$85.86	$89.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.99 / $221.57 / $371.45	Facility		$111.99	$221.57	$371.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $115.00 / $184.93	Professional		$78.65	$115.00	$184.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $96.70 / $136.96	Facility		$96.70	$96.70	$136.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $117.21 / $196.01	Professional		$88.54	$117.21	$196.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.55 / $109.92 / $160.41	Facility		$84.55	$109.92	$160.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.92 / $109.92 / $205.22	Professional		$109.92	$109.92	$205.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.45 / $114.44 / $180.96	Professional		$90.45	$114.44	$180.96
United Facility/Professional Professional Modifier Low / Median / High Price $72.58 / $93.76 / $150.93	Professional		$72.58	$93.76	$150.93