Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.23 / $66.23 / $66.23	Facility		$66.23	$66.23	$66.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $66.23 / $108.57	Professional		$34.20	$66.23	$108.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $513.52 / $513.52 / $513.52	Facility		$513.52	$513.52	$513.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $94.00 / $165.28	Professional		$72.41	$94.00	$165.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.40 / $85.40 / $429.21	Facility		$85.40	$85.40	$429.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $86.86 / $194.01	Professional		$50.08	$86.86	$194.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.57 / $95.15 / $171.14	Facility		$56.57	$95.15	$171.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $56.45 / $145.83	Professional		$29.95	$56.45	$145.83
United Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $77.59 / $150.02	Professional		$38.53	$77.59	$150.02