Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.99 / $71.61 / $304.16	Facility		$61.99	$71.61	$304.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $71.61 / $161.75	Professional		$68.20	$71.61	$161.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.73 / $166.16 / $334.97	Facility		$84.73	$166.16	$334.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $99.79 / $118.50	Professional		$68.20	$99.79	$118.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $68.20 / $222.81	Facility		$64.34	$68.20	$222.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $70.77	Professional		$68.20	$68.20	$70.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $71.61 / $161.68 / $384.00	Facility		$71.61	$161.68	$384.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $170.37 / $185.00 / $457.00	Professional		$170.37	$185.00	$457.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $77.39 / $176.92	Professional		$64.86	$77.39	$176.92
United Facility/Professional Facility Modifier Low / Median / High Price $59.53 / $59.53 / $98.22	Facility		$59.53	$59.53	$98.22
United Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $72.29 / $81.16	Professional		$57.97	$72.29	$81.16