Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $10,673.46 / $10,673.46	Facility		$65.20	$10,673.46	$10,673.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.72 / $78.23	Professional		$62.10	$62.72	$78.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.31 / $88.26 / $143.66	Facility		$52.31	$88.26	$143.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $88.13 / $104.74	Professional		$62.10	$88.13	$104.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.58 / $62.10 / $78.84	Facility		$58.58	$62.10	$78.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $64.44	Professional		$62.10	$62.10	$64.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.08 / $65.20 / $110.84	Facility		$61.08	$65.20	$110.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $61.08 / $125.39	Professional		$61.08	$61.08	$125.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $66.55 / $157.47	Professional		$65.20	$66.55	$157.47
United Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $65.83 / $69.68	Professional		$52.79	$65.83	$69.68