Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.87 / $70.87 / $70.87	Facility		$70.87	$70.87	$70.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $70.87 / $77.23	Professional		$55.40	$70.87	$77.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $276.17 / $528.75	Facility		$131.16	$276.17	$528.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $64.42 / $104.50	Professional		$27.50	$64.42	$104.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.11 / $554.55 / $895.15	Facility		$310.11	$554.55	$895.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $78.62 / $144.02	Professional		$53.05	$78.62	$144.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.88 / $81.25 / $188.54	Facility		$63.88	$81.25	$188.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $315.85 / $315.85 / $315.85	Professional		$315.85	$315.85	$315.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.97 / $69.55 / $102.82	Professional		$50.97	$69.55	$102.82
United Facility/Professional Facility Modifier Low / Median / High Price $178.55 / $178.55 / $209.19	Facility		$178.55	$178.55	$209.19
United Facility/Professional Professional Modifier Low / Median / High Price $55.61 / $83.37 / $156.66	Professional		$55.61	$83.37	$156.66