Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.40 / $79.44 / $109.51	Facility		$54.40	$79.44	$109.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $69.20 / $87.21	Professional		$69.20	$69.20	$87.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.50 / $70.63 / $111.25	Facility		$42.50	$70.63	$111.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.66 / $81.43 / $97.72	Professional		$71.66	$81.43	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Facility		$76.14	$76.14	$76.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Professional		$76.14	$76.14	$76.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $81.43 / $93.45	Facility		$69.22	$81.43	$93.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $81.43 / $88.96	Professional		$77.36	$81.43	$88.96