Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $104.71	Professional		$53.70	$70.79	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $323.59 / $630.96	Facility		$165.96	$323.59	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $208.93	Professional		$70.79	$89.13	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $257.04 / $281.84	Facility		$57.54	$257.04	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $165.96	Professional		$72.44	$91.20	$165.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $93.33 / $213.80	Facility		$63.10	$93.33	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $125.89	Professional		$64.57	$85.11	$125.89