Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.39 / $197.03 / $197.03	Facility		$85.39	$197.03	$197.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $85.39 / $93.51	Professional		$62.20	$85.39	$93.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.79 / $106.79 / $128.51	Professional		$106.79	$106.79	$128.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.15 / $125.15 / $125.15	Facility		$125.15	$125.15	$125.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $45.55 / $86.24	Professional		$45.55	$45.55	$86.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.09 / $89.66 / $167.72	Facility		$52.09	$89.66	$167.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $74.92 / $74.92	Professional		$74.92	$74.92	$74.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $50.90 / $63.83	Professional		$35.52	$50.90	$63.83