Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $213.80 / $239.88	Facility		$58.88	$213.80	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $60.26 / $70.79	Professional		$57.54	$60.26	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $75.86 / $85.11	Professional		$67.61	$75.86	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $114.82	Facility		$61.66	$61.66	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $97.72	Professional		$47.86	$72.44	$97.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $72.44 / $114.82	Facility		$58.88	$72.44	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $67.61	Professional		$57.54	$57.54	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $60.26	Professional		$51.29	$60.26	$60.26