Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.12 / $96.12 / $96.12	Facility		$96.12	$96.12	$96.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $91.54 / $96.12	Professional		$64.12	$91.54	$96.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $120.58 / $144.69	Professional		$91.54	$120.58	$144.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.36 / $91.54 / $91.54	Facility		$86.36	$91.54	$91.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Professional		$91.54	$91.54	$91.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.63 / $96.12 / $166.40	Facility		$73.63	$96.12	$166.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $73.63 / $73.63	Professional		$73.63	$73.63	$73.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.55 / $68.56 / $91.54	Professional		$63.55	$68.56	$91.54
United Facility/Professional Professional Modifier Low / Median / High Price $84.22 / $91.54 / $100.69	Professional		$84.22	$91.54	$100.69