Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.04 / $84.04 / $84.04	Facility		$84.04	$84.04	$84.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $84.04 / $500.65	Professional		$80.04	$84.04	$500.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $530.86 / $643.21	Professional		$80.04	$530.86	$643.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.51 / $80.04 / $80.04	Facility		$75.51	$80.04	$80.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Professional		$80.04	$80.04	$80.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $84.04 / $100.85 / $912.22	Facility		$84.04	$100.85	$912.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $98.61 / $98.61 / $98.61	Professional		$98.61	$98.61	$98.61
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 $73.64 / $80.04 / $88.04	Professional		$73.64	$80.04	$88.04