Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.56 / $78.56 / $78.56	Facility		$78.56	$78.56	$78.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $78.56 / $130.69	Professional		$78.56	$78.56	$130.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $132.38 / $186.77	Professional		$105.00	$132.38	$186.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.20 / $113.00 / $124.77	Facility		$78.20	$113.00	$124.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $105.60 / $113.00	Professional		$82.49	$105.60	$113.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $78.14 / $126.00 / $275.77	Facility		$78.14	$126.00	$275.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $106.00	Professional		$99.00	$99.00	$106.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.66 / $118.66 / $118.66	Professional		$118.66	$118.66	$118.66
United Facility/Professional Professional Modifier Low / Median / High Price $66.86 / $87.61 / $131.99	Professional		$66.86	$87.61	$131.99