Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.81 / $4,550.00 / $10,977.12	Facility		$93.81	$4,550.00	$10,977.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $93.81 / $126.92	Professional		$89.34	$93.81	$126.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.33 / $160.74 / $285.31	Facility		$89.33	$160.74	$285.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $93.81 / $123.63	Professional		$89.34	$93.81	$123.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $89.34 / $159.97	Facility		$84.29	$89.34	$159.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $113.79	Professional		$89.34	$89.34	$113.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.81 / $95.54 / $193.31	Facility		$92.81	$95.54	$193.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.81 / $92.81 / $223.02	Professional		$92.81	$92.81	$223.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.80 / $124.68 / $261.45	Professional		$93.80	$124.68	$261.45
United Facility/Professional Professional Modifier Low / Median / High Price $75.94 / $94.70 / $100.25	Professional		$75.94	$94.70	$100.25