Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.31 / $73.31 / $296.39	Facility		$73.31	$73.31	$296.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $75.98 / $75.98	Professional		$73.31	$75.98	$75.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.82 / $98.32 / $150.38	Facility		$57.82	$98.32	$150.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.67 / $89.40 / $107.28	Professional		$78.67	$89.40	$107.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Facility		$75.98	$75.98	$75.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Professional		$75.98	$75.98	$75.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $73.31 / $87.97 / $98.97	Facility		$73.31	$87.97	$98.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $127.68 / $127.68 / $127.68	Professional		$127.68	$127.68	$127.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $91.63	Professional		$73.31	$73.31	$91.63
United Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $74.50 / $74.50	Professional		$74.50	$74.50	$74.50