Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.18 / $52.18 / $262.20	Facility		$52.18	$52.18	$262.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $52.18 / $190.44	Professional		$43.68	$52.18	$190.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.50 / $115.32 / $288.35	Facility		$61.50	$115.32	$288.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.60 / $262.20 / $327.75	Professional		$234.60	$262.20	$327.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $57.66 / $57.66	Facility		$57.66	$57.66	$57.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $63.60	Professional		$57.66	$57.66	$63.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.18 / $72.00 / $262.20	Facility		$52.18	$72.00	$262.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $72.00 / $72.00	Professional		$72.00	$72.00	$72.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $206.64 / $206.64 / $258.30	Professional		$206.64	$206.64	$258.30
United Facility/Professional Professional Modifier Low / Median / High Price $234.60 / $292.56 / $309.70	Professional		$234.60	$292.56	$309.70