Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.73 / $63.73 / $63.73	Facility		$63.73	$63.73	$63.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $63.73 / $112.75	Professional		$61.14	$63.73	$112.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $94.56 / $136.49	Professional		$75.00	$94.56	$136.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.35 / $80.45 / $88.82	Facility		$57.35	$80.45	$88.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $77.43 / $80.45	Professional		$58.73	$77.43	$80.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.30 / $93.00 / $202.22	Facility		$57.30	$93.00	$202.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $72.00 / $78.00	Professional		$72.00	$72.00	$78.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.01 / $87.01 / $87.01	Professional		$87.01	$87.01	$87.01
United Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $63.67 / $86.60	Professional		$43.54	$63.67	$86.60