Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.65 / $70.65 / $70.65	Facility		$70.65	$70.65	$70.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.65 / $70.65 / $132.13	Professional		$70.65	$70.65	$132.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $151.29 / $191.84	Professional		$120.00	$151.29	$191.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.79 / $128.79 / $142.19	Facility		$128.79	$128.79	$142.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $124.17 / $128.79	Professional		$94.02	$124.17	$128.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $120.11 / $263.68	Facility		$39.29	$120.11	$263.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $153.53 / $153.53 / $153.53	Professional		$153.53	$153.53	$153.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.55 / $132.55 / $132.55	Professional		$132.55	$132.55	$132.55
United Facility/Professional Professional Modifier Low / Median / High Price $61.41 / $93.13 / $135.54	Professional		$61.41	$93.13	$135.54