Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $112.20 / $331.13	Facility		$81.28	$112.20	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $93.33	Professional		$69.18	$77.62	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $77.62 / $138.04	Facility		$44.67	$77.62	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $102.33	Professional		$77.62	$83.18	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $77.62 / $77.62	Facility		$72.44	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $91.20 / $223.87	Facility		$81.28	$91.20	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $165.96	Facility		$77.62	$77.62	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $85.11	Professional		$77.62	$77.62	$85.11