Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $83.18 / $89.13	Professional		$79.43	$83.18	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $4,073.80	Facility		$134.90	$134.90	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $112.20 / $144.54	Professional		$50.12	$112.20	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $102.33 / $194.98	Facility		$83.18	$102.33	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $87.10	Professional		$83.18	$83.18	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $138.04	Professional		$114.82	$131.83	$138.04