Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.45 / $69.45 / $69.45	Facility		$69.45	$69.45	$69.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.08 / $69.45 / $83.87	Professional		$58.08	$69.45	$83.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.19 / $109.23 / $132.56	Professional		$95.19	$109.23	$132.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Facility		$93.13	$93.13	$93.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Professional		$93.13	$93.13	$93.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $76.70 / $76.70	Facility		$76.70	$76.70	$76.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $76.70 / $76.70	Professional		$76.70	$76.70	$76.70
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 $86.74 / $91.30 / $100.43	Professional		$86.74	$91.30	$100.43