Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $109.65	Professional		$70.79	$89.13	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $239.88	Professional		$154.88	$194.98	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $95.50 / $95.50	Facility		$83.18	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $158.49	Professional		$81.28	$95.50	$158.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $109.65 / $229.09	Facility		$77.62	$109.65	$229.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $74.13	Professional		$63.10	$63.10	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $30.20 / $125.89	Professional		$12.59	$30.20	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $63.10 / $95.50	Facility		$8.71	$63.10	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $83.18 / $154.88	Professional		$54.95	$83.18	$154.88