Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $104.71	Professional		$53.70	$64.57	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $141.25	Professional		$70.79	$120.23	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $74.13 / $213.80	Facility		$53.70	$74.13	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $141.25	Professional		$53.70	$53.70	$141.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $89.13	Professional		$66.07	$81.28	$89.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $100.00 / $204.17	Facility		$58.88	$100.00	$204.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $38.02	Professional		$37.15	$37.15	$38.02
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 $57.54 / $75.86 / $158.49	Facility		$57.54	$75.86	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $79.43	Professional		$45.71	$58.88	$79.43