Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $82.00 / $82.00	Facility		$82.00	$82.00	$82.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $82.00 / $85.00	Professional		$80.00	$82.00	$85.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $60.57 / $73.51	Professional		$52.79	$60.57	$73.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $95.00 / $137.76	Facility		$82.00	$95.00	$137.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $95.00	Professional		$95.00	$95.00	$95.00
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 $148.05 / $160.91 / $177.01	Professional		$148.05	$160.91	$177.01