Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.76 / $79.77 / $317.82	Facility		$79.76	$79.77	$317.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $79.77 / $134.77	Professional		$76.73	$79.77	$134.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.58 / $136.68 / $218.32	Facility		$78.58	$136.68	$218.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.75 / $87.40 / $103.89	Professional		$70.75	$87.40	$103.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $75.97 / $75.97	Facility		$71.67	$75.97	$75.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $79.77 / $87.75 / $107.69	Facility		$79.77	$87.75	$107.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $139.09 / $139.09	Professional		$139.09	$139.09	$139.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.43 / $88.03 / $154.77	Professional		$70.43	$88.03	$154.77
United Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $163.34	Facility		$75.97	$75.97	$163.34
United Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97