Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $109.65 / $257.04	Facility		$87.10	$109.65	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $199.53	Professional		$77.62	$89.13	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $128.82 / $302.00	Facility		$39.81	$128.82	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $81.28 / $107.15	Professional		$45.71	$81.28	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $120.23 / $144.54	Facility		$70.79	$120.23	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $93.33 / $144.54	Professional		$41.69	$93.33	$144.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $89.13 / $147.91	Facility		$39.81	$89.13	$147.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
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 Facility Modifier Low / Median / High Price $85.11 / $85.11 / $93.33	Facility		$85.11	$85.11	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $77.62 / $109.65	Professional		$26.30	$77.62	$109.65