Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $68.81 / $432.91	Facility		$68.81	$68.81	$432.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $96.30 / $138.26	Professional		$68.81	$96.30	$138.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.50 / $337.14 / $545.84	Facility		$159.50	$337.14	$545.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $40.00 / $48.00	Professional		$35.20	$40.00	$48.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Facility		$47.60	$47.60	$47.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Professional		$47.60	$47.60	$47.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $82.57 / $92.89	Facility		$68.81	$82.57	$92.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $350.82 / $350.82 / $350.82	Professional		$350.82	$350.82	$350.82
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 $46.67 / $46.67 / $46.67	Professional		$46.67	$46.67	$46.67