Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.16 / $86.16 / $348.35	Facility		$86.16	$86.16	$348.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $86.16 / $89.31	Professional		$84.06	$86.16	$89.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.09 / $99.92 / $162.40	Facility		$59.09	$99.92	$162.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.16 / $102.81 / $127.48	Professional		$96.16	$102.81	$127.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $89.31 / $124.82	Facility		$89.31	$89.31	$124.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $89.31 / $89.31	Professional		$89.31	$89.31	$89.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.16 / $86.91 / $123.36	Facility		$86.16	$86.91	$123.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $86.91 / $86.91 / $141.82	Professional		$86.91	$86.91	$141.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.19 / $86.16 / $90.46	Professional		$81.19	$86.16	$90.46
United Facility/Professional Professional Modifier Low / Median / High Price $74.43 / $92.81 / $101.57	Professional		$74.43	$92.81	$101.57