Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.74 / $94.74 / $94.74	Facility		$94.74	$94.74	$94.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $94.16 / $108.72	Professional		$80.53	$94.16	$108.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $134.22 / $254.79	Facility		$71.06	$134.22	$254.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.37 / $94.74 / $113.69	Professional		$83.37	$94.74	$113.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $83.69 / $83.69	Facility		$80.53	$83.69	$83.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $83.69 / $83.69	Professional		$80.53	$83.69	$83.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $80.53 / $94.74	Facility		$80.53	$80.53	$94.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $83.69 / $84.56	Professional		$83.69	$83.69	$84.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $94.74 / $94.74	Professional		$37.90	$94.74	$94.74