Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.86 / $83.86 / $269.06	Facility		$83.86	$83.86	$269.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.69 / $80.66 / $129.84	Professional		$76.69	$80.66	$129.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.30 / $199.40 / $367.24	Facility		$105.30	$199.40	$367.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $87.34 / $141.46	Professional		$79.86	$87.34	$141.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $79.86 / $104.66	Facility		$75.34	$79.86	$104.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $82.88	Professional		$79.86	$79.86	$82.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.86 / $103.30 / $197.63	Facility		$83.86	$103.30	$197.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.11 / $100.79 / $272.83	Professional		$92.11	$100.79	$272.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $82.13 / $82.13	Professional		$30.00	$82.13	$82.13
United Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $84.65 / $92.64	Professional		$67.88	$84.65	$92.64