Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.50 / $55.50 / $224.39	Facility		$55.50	$55.50	$224.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $57.53 / $57.53	Professional		$55.50	$57.53	$57.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.37 / $74.41 / $120.83	Facility		$49.37	$74.41	$120.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $67.68 / $81.22	Professional		$57.53	$67.68	$81.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Facility		$57.53	$57.53	$57.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Professional		$57.53	$57.53	$57.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $55.50 / $66.59 / $74.93	Facility		$55.50	$66.59	$74.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.16 / $103.16 / $103.16	Professional		$103.16	$103.16	$103.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.96 / $57.17 / $71.46	Professional		$56.96	$57.17	$71.46
United Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $62.04	Professional		$56.40	$56.40	$62.04