Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $144.54	Professional		$81.28	$95.50	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $245.47	Professional		$128.82	$199.53	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $288.40	Facility		$67.61	$67.61	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $223.87	Professional		$57.54	$57.54	$223.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $125.89	Professional		$97.72	$97.72	$125.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $141.25 / $309.03	Facility		$87.10	$141.25	$309.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $131.83	Professional		$30.20	$30.20	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $128.82 / $234.42	Facility		$114.82	$128.82	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $134.90	Professional		$72.44	$97.72	$134.90