Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $128.82	Professional		$60.26	$75.86	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $208.93	Professional		$109.65	$158.49	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $234.42	Facility		$81.28	$81.28	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $169.82	Professional		$60.26	$60.26	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $85.11 / $95.50	Professional		$74.13	$85.11	$95.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $109.65 / $239.88	Facility		$70.79	$109.65	$239.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $100.00	Professional		$30.20	$30.20	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $81.28 / $177.83	Facility		$64.57	$81.28	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $93.33	Professional		$54.95	$72.44	$93.33