Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $75.86	Professional		$38.90	$52.48	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $63.10 / $104.71	Facility		$33.88	$63.10	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $74.13 / $123.03	Facility		$44.67	$74.13	$123.03
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 Facility Modifier Low / Median / High Price $158.49 / $181.97 / $239.88	Facility		$158.49	$181.97	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $112.20	Professional		$40.74	$56.23	$112.20