Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.38 / $153.38 / $153.38	Facility		$153.38	$153.38	$153.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $44.39 / $72.83	Professional		$42.38	$44.39	$72.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.95 / $290.45 / $812.07	Facility		$81.95	$290.45	$812.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $68.23 / $68.23	Facility		$68.23	$68.23	$68.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $50.31 / $72.28	Professional		$50.31	$50.31	$72.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.92 / $53.57 / $98.28	Facility		$43.92	$53.57	$98.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $53.57 / $53.57	Professional		$53.57	$53.57	$53.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $59.97 / $97.29	Professional		$43.15	$59.97	$97.29