Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $100.00 / $309.03	Facility		$75.86	$100.00	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $147.91	Professional		$72.44	$74.13	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $208.93 / $407.38	Facility		$87.10	$208.93	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $117.49	Professional		$77.62	$100.00	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $72.44 / $72.44	Facility		$69.18	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $102.33 / $208.93	Facility		$75.86	$102.33	$208.93
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 Professional Modifier Low / Median / High Price $72.44 / $72.44 / $79.43	Professional		$72.44	$72.44	$79.43