Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.65 / $77.63 / $312.20	Facility		$54.65	$77.63	$312.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $73.94 / $77.63	Professional		$62.36	$73.94	$77.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.58 / $67.69 / $111.64	Facility		$39.58	$67.69	$111.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $79.64 / $95.57	Professional		$73.94	$79.64	$95.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.75 / $73.94 / $85.00	Facility		$69.75	$73.94	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $76.73	Professional		$73.94	$73.94	$76.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.04 / $73.94 / $108.68	Facility		$46.04	$73.94	$108.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.04 / $46.04 / $100.14	Professional		$46.04	$46.04	$100.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $77.22 / $175.95	Professional		$66.05	$77.22	$175.95
United Facility/Professional Professional Modifier Low / Median / High Price $62.85 / $78.38 / $85.03	Professional		$62.85	$78.38	$85.03