Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.97 / $80.97 / $327.36	Facility		$80.97	$80.97	$327.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $80.97 / $83.93	Professional		$78.98	$80.97	$83.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.78 / $118.55 / $129.68	Facility		$104.78	$118.55	$129.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.56 / $96.61 / $118.31	Professional		$89.56	$96.61	$118.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.93 / $83.93 / $83.93	Facility		$83.93	$83.93	$83.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $88.87 / $104.30	Professional		$82.95	$88.87	$104.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $80.97 / $98.74 / $117.50	Facility		$80.97	$98.74	$117.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $104.00 / $201.95	Professional		$85.00	$104.00	$201.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.93 / $104.66 / $117.50	Professional		$83.93	$104.66	$117.50