Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $114.82	Professional		$54.95	$64.57	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $229.09	Facility		$120.23	$120.23	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $154.88	Professional		$77.62	$131.83	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $75.86 / $208.93	Facility		$58.88	$75.86	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $134.90	Professional		$54.95	$54.95	$134.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $91.20	Professional		$75.86	$81.28	$91.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $102.33 / $208.93	Facility		$64.57	$102.33	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $89.13	Professional		$30.20	$30.20	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $72.44 / $158.49	Facility		$57.54	$72.44	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $83.18	Professional		$47.86	$64.57	$83.18