Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $112.20	Professional		$52.48	$64.57	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $120.23 / $151.36	Professional		$67.61	$120.23	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $70.79 / $204.17	Facility		$28.84	$70.79	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $147.91	Professional		$51.29	$51.29	$147.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $83.18	Professional		$64.57	$64.57	$83.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $85.11 / $199.53	Facility		$46.77	$85.11	$199.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $87.10	Professional		$30.20	$30.20	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $66.07 / $154.88	Facility		$0.09	$66.07	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $79.43	Professional		$46.77	$63.10	$79.43