Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $75.86 / $229.09	Facility		$57.54	$75.86	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $54.95 / $89.13	Professional		$53.70	$54.95	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $117.49 / $213.80	Facility		$53.70	$117.49	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $75.86	Professional		$57.54	$67.61	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $54.95 / $54.95	Facility		$51.29	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $69.18 / $162.18	Facility		$57.54	$69.18	$162.18
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 $54.95 / $56.23 / $117.49	Facility		$54.95	$56.23	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $60.26	Professional		$54.95	$54.95	$60.26