Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.30 / $65.30 / $65.30	Facility		$65.30	$65.30	$65.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.65 / $65.30 / $115.53	Professional		$62.65	$65.30	$115.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $97.08 / $139.86	Professional		$77.00	$97.08	$139.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.76 / $103.32 / $114.08	Facility		$58.76	$103.32	$114.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $79.34 / $103.32	Professional		$75.42	$79.34	$103.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.71 / $95.00 / $207.21	Facility		$58.71	$95.00	$207.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $74.00 / $80.00	Professional		$74.00	$74.00	$80.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.15 / $89.15 / $89.15	Professional		$89.15	$89.15	$89.15
United Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $65.81 / $88.73	Professional		$44.57	$65.81	$88.73