Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.32 / $55.32 / $55.32	Facility		$55.32	$55.32	$55.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $55.32 / $56.10	Professional		$30.10	$55.32	$56.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.71 / $326.24 / $536.74	Facility		$167.71	$326.24	$536.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.39 / $296.10 / $442.75	Facility		$264.39	$296.10	$442.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.08 / $85.92 / $167.29	Professional		$57.08	$85.92	$167.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $88.84 / $145.19	Facility		$68.48	$88.84	$145.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $203.61 / $203.61 / $203.61	Professional		$203.61	$203.61	$203.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $40.92 / $51.15	Professional		$40.92	$40.92	$51.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,977.00 / $1,977.00 / $1,977.00	Professional		$1,977.00	$1,977.00	$1,977.00