Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.65 / $124.10 / $268.97	Facility		$83.65	$124.10	$268.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $28.05 / $44.72	Professional		$21.60	$28.05	$44.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $141.65 / $263.97	Facility		$65.33	$141.65	$263.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $34.00 / $58.02	Professional		$28.15	$34.00	$58.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $271.91 / $442.75	Facility		$97.44	$271.91	$442.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $35.11 / $63.35	Professional		$25.27	$35.11	$63.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.33 / $43.00 / $74.86	Facility		$27.33	$43.00	$74.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $113.45 / $113.45	Professional		$113.45	$113.45	$113.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $34.77 / $51.41	Professional		$25.48	$34.77	$51.41
United Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $35.28 / $58.42	Professional		$23.88	$35.28	$58.42