Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.28 / $71.28 / $71.28	Facility		$71.28	$71.28	$71.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $76.59 / $172.80	Professional		$71.28	$76.59	$172.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.27 / $273.27 / $273.27	Facility		$273.27	$273.27	$273.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $60.39 / $149.79	Professional		$47.10	$60.39	$149.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.11 / $204.11 / $429.21	Facility		$204.11	$204.11	$429.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $112.14 / $208.77	Professional		$84.14	$112.14	$208.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.28 / $116.00 / $180.72	Facility		$71.28	$116.00	$180.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.55 / $63.07	Professional		$32.34	$40.55	$63.07
United Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $78.08 / $138.08	Professional		$36.65	$78.08	$138.08