Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $112.20	Professional		$48.98	$67.61	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $169.82	Professional		$107.15	$138.04	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $75.86 / $162.18	Facility		$34.67	$75.86	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $112.20	Professional		$56.23	$56.23	$112.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $104.71	Professional		$81.28	$93.33	$104.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $109.65 / $234.42	Facility		$60.26	$109.65	$234.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $46.77	Professional		$45.71	$45.71	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $109.65	Professional		$30.20	$30.20	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $83.18 / $141.25	Facility		$0.11	$83.18	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $102.33	Professional		$53.70	$79.43	$102.33