Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.93 / $82.93 / $82.93	Facility		$82.93	$82.93	$82.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $82.93 / $85.96	Professional		$80.90	$82.93	$85.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.41 / $4,106.68 / $4,804.63	Facility		$133.41	$4,106.68	$4,804.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.52 / $51.09 / $74.40	Professional		$44.52	$51.09	$74.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Facility		$85.96	$85.96	$85.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Professional		$85.96	$85.96	$85.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.93 / $98.78 / $145.26	Facility		$82.93	$98.78	$145.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.09 / $92.09 / $92.09	Professional		$92.09	$92.09	$92.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.92 / $82.92 / $87.06	Professional		$82.92	$82.92	$87.06
United Facility/Professional Professional Modifier Low / Median / High Price $122.82 / $136.47 / $150.12	Professional		$122.82	$136.47	$150.12