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 $75.00 / $94.56 / $180.60	Professional		$75.00	$94.56	$180.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.66 / $116.46 / $128.58	Facility		$22.66	$116.46	$128.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $104.41 / $116.46	Professional		$85.02	$104.41	$116.46
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 $67.00 / $67.00 / $105.00	Professional		$67.00	$67.00	$105.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $108.46 / $108.46	Professional		$108.46	$108.46	$108.46
United Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $82.76 / $104.41	Professional		$57.75	$82.76	$104.41