Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $213.80 / $239.88	Facility		$58.88	$213.80	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $60.26 / $72.44	Professional		$57.54	$60.26	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $79.43 / $151.36	Facility		$38.02	$79.43	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $72.44 / $85.11	Professional		$67.61	$72.44	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $114.82	Facility		$61.66	$61.66	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $51.29	Professional		$45.71	$45.71	$51.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $64.57 / $107.15	Facility		$57.54	$64.57	$107.15
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 Facility Modifier Low / Median / High Price $61.66 / $61.66 / $134.90	Facility		$61.66	$61.66	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $67.61	Professional		$51.29	$64.57	$67.61