Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.79 / $69.79 / $69.79	Facility		$69.79	$69.79	$69.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $69.79 / $123.48	Professional		$60.63	$69.79	$123.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $20.42 / $110.28	Facility		$16.07	$20.42	$110.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $103.38 / $149.61	Professional		$82.00	$103.38	$149.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.82 / $77.09 / $85.11	Facility		$62.82	$77.09	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $77.09 / $100.50	Professional		$56.28	$77.09	$100.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $102.00 / $221.46	Facility		$56.50	$102.00	$221.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $85.00	Professional		$79.00	$79.00	$85.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.45 / $61.45 / $61.45	Professional		$61.45	$61.45	$61.45
United Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $66.95 / $88.45	Professional		$46.90	$66.95	$88.45