Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $229.09 / $6,456.54	Facility		$56.23	$229.09	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $69.18	Professional		$54.95	$57.54	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $93.33 / $169.82	Facility		$50.12	$93.33	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $69.18 / $75.86	Facility		$56.23	$69.18	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $51.29 / $107.15	Facility		$50.12	$51.29	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.26 / $63.10	Professional		$54.95	$60.26	$63.10