Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $109.65	Professional		$41.69	$61.66	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $30.20 / $162.18	Facility		$23.99	$30.20	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $147.91	Professional		$72.44	$125.89	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $83.18 / $181.97	Facility		$56.23	$83.18	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $151.36	Professional		$61.66	$61.66	$151.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $61.66 / $64.57	Professional		$58.88	$61.66	$64.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $93.33 / $190.55	Facility		$57.54	$93.33	$190.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $31.62	Professional		$30.90	$30.90	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $85.11	Professional		$30.20	$30.20	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $60.26 / $131.83	Facility		$47.86	$60.26	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $77.62	Professional		$40.74	$60.26	$77.62