Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.51 / $64.51 / $267.32	Facility		$64.51	$64.51	$267.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $63.92 / $76.19	Professional		$61.44	$63.92	$76.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.07 / $97.68 / $161.88	Facility		$60.07	$97.68	$161.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $88.83 / $105.57	Professional		$61.44	$88.83	$105.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $61.44 / $79.48	Facility		$57.96	$61.44	$79.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $64.73	Professional		$61.44	$61.44	$64.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.51 / $80.26 / $124.36	Facility		$64.51	$80.26	$124.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $80.26 / $80.26 / $125.11	Professional		$80.26	$80.26	$125.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $66.11 / $153.60	Professional		$64.51	$66.11	$153.60
United Facility/Professional Professional Modifier Low / Median / High Price $52.22 / $65.13 / $76.80	Professional		$52.22	$65.13	$76.80