Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.63 / $76.63 / $76.63	Facility		$76.63	$76.63	$76.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $76.63 / $135.57	Professional		$69.65	$76.63	$135.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $110.76 / $164.11	Professional		$90.00	$110.76	$164.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.95 / $86.88 / $93.10	Facility		$68.95	$86.88	$93.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $85.76 / $112.88	Professional		$63.42	$85.76	$112.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $66.98 / $111.00 / $243.14	Facility		$66.98	$111.00	$243.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $87.00 / $94.00	Professional		$87.00	$87.00	$94.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.61 / $104.61 / $104.61	Professional		$104.61	$104.61	$104.61
United Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $73.22 / $93.07	Professional		$51.49	$73.22	$93.07