Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $35.36 / $112.07	Facility		$35.36	$35.36	$112.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $50.72 / $112.07	Professional		$30.66	$50.72	$112.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.11 / $512.21 / $874.70	Facility		$277.11	$512.21	$874.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $67.67 / $127.78	Professional		$30.20	$67.67	$127.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $63.19 / $148.41	Professional		$32.96	$63.19	$148.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.15 / $82.62 / $156.26	Facility		$36.15	$82.62	$156.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $345.29 / $345.29 / $345.29	Professional		$345.29	$345.29	$345.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $140.97 / $212.45	Professional		$103.95	$140.97	$212.45
United Facility/Professional Professional Modifier Low / Median / High Price $54.58 / $78.68 / $149.15	Professional		$54.58	$78.68	$149.15