Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.97 / $69.97 / $304.24	Facility		$69.97	$69.97	$304.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.97 / $86.71 / $90.77	Professional		$69.97	$86.71	$90.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.11 / $117.44 / $202.44	Facility		$61.11	$117.44	$202.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $93.98 / $116.62	Professional		$66.64	$93.98	$116.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $66.64 / $66.64	Facility		$62.87	$66.64	$66.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.24 / $76.97 / $106.79	Facility		$61.24	$76.97	$106.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.80 / $128.80 / $128.80	Professional		$128.80	$128.80	$128.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $81.43 / $109.46	Professional		$65.15	$81.43	$109.46
United Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $66.64 / $143.28	Facility		$66.64	$66.64	$143.28
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $74.64	Professional		$66.64	$66.64	$74.64