Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.38 / $92.38 / $92.38	Facility		$92.38	$92.38	$92.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $92.38 / $155.01	Professional		$87.98	$92.38	$155.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $92.38 / $120.31	Professional		$87.98	$92.38	$120.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $87.98 / $87.98	Facility		$83.00	$87.98	$87.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $92.38 / $150.55 / $255.94	Facility		$92.38	$150.55	$255.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $150.55 / $150.55 / $150.55	Professional		$150.55	$150.55	$150.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $92.37 / $123.41	Professional		$55.00	$92.37	$123.41
United Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $87.98 / $96.78	Professional		$80.94	$87.98	$96.78