Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.48 / $64.48 / $64.48	Facility		$64.48	$64.48	$64.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $64.48 / $107.29	Professional		$64.48	$64.48	$107.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $107.16 / $152.79	Professional		$85.00	$107.16	$152.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $90.07 / $99.44	Facility		$64.20	$90.07	$99.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $86.68 / $90.07	Professional		$65.75	$86.68	$90.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.14 / $104.00 / $226.38	Facility		$64.14	$104.00	$226.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $81.00 / $87.00	Professional		$81.00	$81.00	$87.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.39 / $97.39 / $97.39	Professional		$97.39	$97.39	$97.39
United Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $71.91 / $108.35	Professional		$56.30	$71.91	$108.35