Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.15 / $65.15 / $65.15	Facility		$65.15	$65.15	$65.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.51 / $65.15 / $115.25	Professional		$62.51	$65.15	$115.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.94 / $117.94 / $222.10	Facility		$117.94	$117.94	$222.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $97.08 / $139.52	Professional		$77.00	$97.08	$139.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.62 / $75.81 / $83.71	Facility		$58.62	$75.81	$83.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $75.81 / $79.15	Professional		$55.35	$75.81	$79.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.57 / $95.00 / $206.71	Facility		$58.57	$95.00	$206.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $74.00 / $80.00	Professional		$74.00	$74.00	$80.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $88.93 / $88.93	Professional		$88.93	$88.93	$88.93
United Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $62.48 / $79.15	Professional		$43.78	$62.48	$79.15