Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $53.72 / $68.17	Professional		$38.89	$53.72	$68.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.37 / $169.49 / $299.83	Facility		$128.37	$169.49	$299.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $59.05 / $78.62	Professional		$36.90	$59.05	$78.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.91 / $52.91 / $52.91	Facility		$52.91	$52.91	$52.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $57.14 / $57.14	Professional		$57.14	$57.14	$57.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.85 / $64.00 / $99.07	Facility		$40.85	$64.00	$99.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $64.00 / $85.31	Professional		$54.53	$64.00	$85.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $74.75 / $117.88	Professional		$54.90	$74.75	$117.88
United Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $63.81 / $97.97	Professional		$47.24	$63.81	$97.97