Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.65 / $91.65 / $369.09	Facility		$91.65	$91.65	$369.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.46 / $91.65 / $91.65	Professional		$84.46	$91.65	$91.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.01 / $157.49	Facility		$64.40	$100.01	$157.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $105.41 / $120.46	Professional		$87.28	$105.41	$120.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $86.99 / $87.28	Facility		$82.34	$86.99	$87.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Professional		$87.28	$87.28	$87.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $91.65 / $105.41 / $123.73	Facility		$91.65	$105.41	$123.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $87.28 / $109.10	Professional		$79.09	$87.28	$109.10
United Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $96.01	Professional		$87.28	$87.28	$96.01