Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.88 / $72.88 / $294.64	Facility		$72.88	$72.88	$294.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.88 / $75.55 / $75.55	Professional		$72.88	$75.55	$75.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.13 / $79.95 / $127.66	Facility		$19.13	$79.95	$127.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $58.80 / $58.80	Professional		$58.80	$58.80	$58.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Facility		$75.55	$75.55	$75.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Professional		$75.55	$75.55	$75.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.88 / $87.46 / $146.50	Facility		$72.88	$87.46	$146.50
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 $88.88 / $88.88 / $88.88	Professional		$88.88	$88.88	$88.88