Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.78 / $55.56 / $337.81	Facility		$40.78	$55.56	$337.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $55.56 / $61.97	Professional		$55.56	$55.56	$61.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.32 / $277.43 / $468.63	Facility		$111.32	$277.43	$468.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $74.00 / $97.41	Professional		$71.23	$74.00	$97.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.44 / $206.50 / $416.81	Facility		$129.44	$206.50	$416.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $32.84 / $102.22	Professional		$32.54	$32.84	$102.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $71.23 / $102.37	Facility		$50.36	$71.23	$102.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $74.95 / $96.00	Professional		$58.00	$74.95	$96.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $39.18 / $56.41	Professional		$39.18	$39.18	$56.41
United Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $42.74 / $85.48	Professional		$29.92	$42.74	$85.48