Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.84 / $72.84 / $72.84	Facility		$72.84	$72.84	$72.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $72.84 / $128.86	Professional		$66.20	$72.84	$128.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.50 / $160.00 / $201.72	Professional		$110.50	$160.00	$201.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $81.70 / $122.86	Facility		$81.70	$81.70	$122.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $81.70 / $88.49	Professional		$59.64	$81.70	$88.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.48 / $106.00 / $231.12	Facility		$65.48	$106.00	$231.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $155.00 / $155.00	Professional		$89.00	$155.00	$155.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.44 / $99.44 / $99.44	Professional		$99.44	$99.44	$99.44
United Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $69.86 / $88.49	Professional		$48.95	$69.86	$88.49