Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $102.33	Professional		$63.10	$81.28	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $173.78	Professional		$104.71	$125.89	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $95.50 / $114.82	Facility		$83.18	$95.50	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $165.96	Professional		$81.28	$95.50	$165.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $104.71 / $204.17	Facility		$67.61	$104.71	$204.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $52.48	Professional		$44.67	$44.67	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $70.79 / $95.50	Professional		$9.55	$70.79	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $66.07 / $104.71	Facility		$8.32	$66.07	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $117.49	Professional		$54.95	$75.86	$117.49