Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.13 / $75.13 / $75.13	Facility		$75.13	$75.13	$75.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $71.55 / $75.13	Professional		$22.25	$71.55	$75.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.94 / $119.92 / $199.73	Facility		$55.94	$119.92	$199.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $94.80 / $120.22	Professional		$71.55	$94.80	$120.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $71.55 / $71.55	Facility		$67.50	$71.55	$71.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Professional		$71.55	$71.55	$71.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $49.84 / $104.18	Facility		$14.04	$49.84	$104.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $14.04 / $14.04	Professional		$14.04	$14.04	$14.04
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 $65.83 / $71.55 / $78.70	Professional		$65.83	$71.55	$78.70