Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $263.03 / $295.12	Facility		$72.44	$263.03	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $102.33	Professional		$70.79	$75.86	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $75.86 / $131.83	Facility		$15.14	$75.86	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $89.13 / $147.91	Facility		$72.44	$89.13	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $97.72	Professional		$89.13	$89.13	$97.72