Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.95 / $85.95 / $85.95	Facility		$85.95	$85.95	$85.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $85.95 / $152.05	Professional		$78.12	$85.95	$152.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.16 / $147.68 / $208.97	Professional		$113.16	$147.68	$208.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.36 / $104.24 / $115.10	Facility		$91.36	$104.24	$115.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $104.24 / $104.41	Professional		$76.09	$104.24	$104.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.27 / $125.00 / $272.70	Facility		$77.27	$125.00	$272.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $115.00 / $115.00	Professional		$105.00	$115.00	$115.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.33 / $117.33 / $117.33	Professional		$117.33	$117.33	$117.33
United Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $82.43 / $104.41	Professional		$57.75	$82.43	$104.41