Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $125.89	Professional		$63.10	$81.28	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $169.82	Professional		$83.18	$144.54	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $89.13 / $257.04	Facility		$63.10	$89.13	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $194.98	Professional		$64.57	$64.57	$194.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $123.03	Professional		$70.79	$112.20	$123.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $120.23 / $269.15	Facility		$70.79	$120.23	$269.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $45.71	Professional		$44.67	$44.67	$45.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $81.28 / $190.55	Facility		$69.18	$81.28	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $95.50	Professional		$54.95	$70.79	$95.50