Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.24 / $54.24 / $54.24	Facility		$54.24	$54.24	$54.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $54.24 / $108.87	Professional		$54.24	$54.24	$108.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $90.13 / $124.31	Professional		$70.00	$90.13	$124.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.08 / $139.08 / $252.00	Facility		$139.08	$139.08	$252.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $101.53 / $101.53	Professional		$101.53	$101.53	$101.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.24 / $67.26 / $168.16	Facility		$54.24	$67.26	$168.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $261.00	Professional		$25.20	$25.20	$261.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $68.62 / $103.17	Professional		$44.39	$68.62	$103.17