Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.84 / $61.84 / $61.84	Facility		$61.84	$61.84	$61.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $61.84 / $67.56	Professional		$50.85	$61.84	$67.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.54 / $115.76 / $174.41	Facility		$48.54	$115.76	$174.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $112.96 / $255.30	Professional		$65.00	$112.96	$255.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $63.51	Professional		$63.51	$63.51	$63.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.42 / $88.00 / $136.57	Facility		$61.42	$88.00	$136.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $272.98 / $272.98 / $272.98	Professional		$272.98	$272.98	$272.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $265.51 / $265.51 / $265.51	Professional		$265.51	$265.51	$265.51
United Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $199.28 / $301.26	Professional		$139.50	$199.28	$301.26