Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.92 / $58.97 / $358.54	Facility		$52.92	$58.97	$358.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.97 / $58.97 / $65.77	Professional		$58.97	$58.97	$65.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $465.43 / $465.43 / $497.39	Facility		$465.43	$465.43	$497.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $75.59 / $103.38	Professional		$75.59	$75.59	$103.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.21 / $153.32 / $431.06	Facility		$116.21	$153.32	$431.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $34.51 / $108.93	Professional		$13.75	$34.51	$108.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.93 / $53.87 / $81.83	Facility		$29.93	$53.87	$81.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $29.93 / $29.93	Professional		$29.93	$29.93	$29.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $41.58 / $59.88	Professional		$41.58	$41.58	$59.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $31.75 / $68.84	Professional		$14.97	$31.75	$68.84