Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.80 / $88.80 / $358.86	Facility		$88.80	$88.80	$358.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $85.42 / $104.54	Professional		$84.57	$85.42	$104.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.63 / $83.17 / $134.66	Facility		$55.63	$83.17	$134.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $93.68 / $113.79	Professional		$84.57	$93.68	$113.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.78 / $79.78 / $84.57	Facility		$79.78	$79.78	$84.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $87.76	Professional		$84.57	$84.57	$87.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.27 / $88.80 / $160.66	Facility		$62.27	$88.80	$160.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.27 / $62.27 / $145.05	Professional		$62.27	$62.27	$145.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $86.02 / $152.91	Professional		$55.00	$86.02	$152.91
United Facility/Professional Professional Modifier Low / Median / High Price $71.88 / $89.64 / $98.61	Professional		$71.88	$89.64	$98.61