Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $138.04	Professional		$61.66	$79.43	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $190.55	Professional		$95.50	$162.18	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $85.11 / $245.47	Facility		$70.79	$85.11	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $181.97	Professional		$61.66	$61.66	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $114.82	Professional		$81.28	$104.71	$114.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $263.03	Facility		$77.62	$123.03	$263.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $107.15	Professional		$30.20	$30.20	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $75.86 / $186.21	Facility		$60.26	$75.86	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $100.00	Professional		$56.23	$79.43	$100.00