Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.89 / $79.89 / $79.89	Facility		$79.89	$79.89	$79.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $79.89 / $164.46	Professional		$76.09	$79.89	$164.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $265.44 / $369.89	Professional		$76.09	$265.44	$369.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.78 / $76.09 / $76.09	Facility		$71.78	$76.09	$76.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Professional		$76.09	$76.09	$76.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.89 / $170.26 / $335.50	Facility		$79.89	$170.26	$335.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $170.26 / $170.26 / $170.26	Professional		$170.26	$170.26	$170.26
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 Facility Modifier Low / Median / High Price $142.47 / $142.47 / $142.47	Facility		$142.47	$142.47	$142.47
United Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $76.09 / $83.70	Professional		$68.48	$76.09	$83.70