Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.50 / $61.50 / $248.65	Facility		$61.50	$61.50	$248.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $61.50 / $61.50	Professional		$58.65	$61.50	$61.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.51 / $300.31 / $478.32	Facility		$150.51	$300.31	$478.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.79 / $62.79 / $155.96	Professional		$62.79	$62.79	$155.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Facility		$63.75	$63.75	$63.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.29 / $67.65 / $83.03	Facility		$45.29	$67.65	$83.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $246.82 / $246.82 / $246.82	Professional		$246.82	$246.82	$246.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $62.50	Professional		$62.50	$62.50	$62.50