Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.23 / $74.23 / $74.23	Facility		$74.23	$74.23	$74.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $74.23 / $179.51	Professional		$70.70	$74.23	$179.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $248.43 / $346.18	Professional		$70.70	$248.43	$346.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.69 / $70.70 / $70.70	Facility		$66.69	$70.70	$70.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Professional		$70.70	$70.70	$70.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.23 / $178.34 / $300.00	Facility		$74.23	$178.34	$300.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $178.34 / $178.34 / $178.34	Professional		$178.34	$178.34	$178.34
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 $65.04 / $70.70 / $95.82	Professional		$65.04	$70.70	$95.82