Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.92 / $89.92 / $89.92	Facility		$89.92	$89.92	$89.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.92 / $89.92 / $149.60	Professional		$89.92	$89.92	$149.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $147.68 / $213.23	Professional		$120.00	$147.68	$213.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.53 / $122.31 / $135.06	Facility		$89.53	$122.31	$135.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $120.88 / $122.31	Professional		$89.29	$120.88	$122.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.45 / $144.00 / $315.66	Facility		$89.45	$144.00	$315.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $113.00 / $121.00	Professional		$113.00	$113.00	$121.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.82 / $135.82 / $135.82	Professional		$135.82	$135.82	$135.82
United Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $99.38 / $147.13	Professional		$66.84	$99.38	$147.13