Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $57.04 / $57.04	Facility		$57.04	$57.04	$57.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $57.04 / $94.90	Professional		$53.87	$57.04	$94.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $107.16 / $149.46	Professional		$85.00	$107.16	$149.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.70 / $100.70 / $111.19	Facility		$100.70	$100.70	$111.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.68 / $85.60 / $85.60	Professional		$76.68	$85.60	$85.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.74 / $89.46 / $183.04	Facility		$56.74	$89.46	$183.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $89.46 / $89.46 / $89.46	Professional		$89.46	$89.46	$89.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.15 / $86.15 / $86.15	Professional		$86.15	$86.15	$86.15
United Facility/Professional Professional Modifier Low / Median / High Price $44.26 / $63.04 / $85.18	Professional		$44.26	$63.04	$85.18