Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.29 / $62.29 / $62.29	Facility		$62.29	$62.29	$62.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $62.29 / $110.20	Professional		$54.53	$62.29	$110.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $30.21 / $163.15	Facility		$23.77	$30.21	$163.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $92.03 / $133.40	Professional		$73.00	$92.03	$133.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.05 / $83.99 / $92.73	Facility		$56.05	$83.99	$92.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $75.67 / $83.99	Professional		$61.31	$75.67	$83.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $91.00 / $197.65	Facility		$48.15	$91.00	$197.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $71.00 / $76.00	Professional		$71.00	$71.00	$76.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $85.04 / $85.04	Professional		$85.04	$85.04	$85.04
United Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $58.51 / $75.66	Professional		$40.49	$58.51	$75.66