Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.55 / $87.55 / $87.55	Facility		$87.55	$87.55	$87.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.69 / $87.55 / $145.66	Professional		$82.69	$87.55	$145.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $163.89 / $228.58	Professional		$130.00	$163.89	$228.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $74.79	Facility		$67.73	$67.73	$74.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $67.73 / $117.68	Professional		$57.58	$67.73	$117.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $87.09 / $137.30 / $280.95	Facility		$87.09	$137.30	$280.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $137.30 / $137.30	Professional		$137.30	$137.30	$137.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.24 / $132.24 / $132.24	Professional		$132.24	$132.24	$132.24
United Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $96.76 / $130.75	Professional		$72.31	$96.76	$130.75