Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.25 / $95.25 / $385.10	Facility		$95.25	$95.25	$385.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.66 / $95.25 / $106.14	Professional		$82.66	$95.25	$106.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,334.86 / $1,334.86 / $1,334.86	Facility		$1,334.86	$1,334.86	$1,334.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.88 / $105.88 / $105.88	Facility		$105.88	$105.88	$105.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $78.08 / $78.08	Professional		$78.08	$78.08	$78.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.43 / $95.25 / $187.91	Facility		$75.43	$95.25	$187.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $83.41 / $83.41 / $83.41	Professional		$83.41	$83.41	$83.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $93.07 / $166.28	Professional		$69.12	$93.07	$166.28