Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $87.10 / $87.10	Facility		$64.57	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $85.11	Professional		$61.66	$61.66	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $117.49 / $144.54	Professional		$60.26	$117.49	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $63.10 / $63.10	Facility		$58.88	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $79.43 / $151.36	Facility		$63.10	$79.43	$151.36
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 Professional Modifier Low / Median / High Price $63.10 / $81.28 / $125.89	Professional		$63.10	$81.28	$125.89