Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.26 / $90.26 / $90.26	Facility		$90.26	$90.26	$90.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.26 / $90.26 / $110.83	Professional		$90.26	$90.26	$110.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.80 / $191.29 / $230.20	Professional		$150.80	$191.29	$230.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.77 / $96.60 / $96.60	Facility		$82.77	$96.60	$96.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $96.60 / $119.33	Professional		$82.11	$96.60	$119.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $108.31 / $256.77	Facility		$77.26	$108.31	$256.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $150.00 / $150.00	Professional		$125.00	$150.00	$150.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $95.17 / $125.77	Professional		$12.57	$95.17	$125.77
United Facility/Professional Professional Modifier Low / Median / High Price $59.33 / $81.02 / $140.56	Professional		$59.33	$81.02	$140.56