Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.48 / $86.48 / $86.48	Facility		$86.48	$86.48	$86.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $86.48 / $94.71	Professional		$64.90	$86.48	$94.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $95.99 / $130.16	Professional		$67.50	$95.99	$130.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.76 / $126.76 / $126.76	Facility		$126.76	$126.76	$126.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $44.13 / $80.26	Professional		$44.13	$44.13	$80.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.07 / $91.63 / $169.87	Facility		$60.07	$91.63	$169.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
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 $34.51 / $50.29 / $65.02	Professional		$34.51	$50.29	$65.02