Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.92 / $452.20 / $452.20	Facility		$57.92	$452.20	$452.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $57.92 / $57.92	Professional		$50.08	$57.92	$57.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.06 / $83.06 / $83.06	Facility		$83.06	$83.06	$83.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $55.16 / $68.95	Professional		$31.18	$55.16	$68.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $55.16 / $55.16	Facility		$52.04	$55.16	$55.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Professional		$55.16	$55.16	$55.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.08 / $57.92 / $78.19	Facility		$50.08	$57.92	$78.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $57.92	Professional		$13.00	$13.00	$57.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.87 / $53.59 / $75.03	Professional		$42.87	$53.59	$75.03
United Facility/Professional Facility Modifier Low / Median / High Price $88.42 / $88.42 / $88.42	Facility		$88.42	$88.42	$88.42
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $55.16 / $55.16	Professional		$22.06	$55.16	$55.16