Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.66 / $49.66 / $49.66	Facility		$49.66	$49.66	$49.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $45.60 / $49.66	Professional		$42.79	$45.60	$49.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.63 / $255.21 / $406.49	Facility		$143.63	$255.21	$406.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.80 / $55.80 / $55.80	Facility		$55.80	$55.80	$55.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.62 / $65.44 / $106.42	Professional		$46.62	$65.44	$106.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.85 / $53.28 / $86.33	Facility		$44.85	$53.28	$86.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $53.28 / $53.28	Professional		$35.00	$53.28	$53.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $35.00	Professional		$30.00	$30.00	$35.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $51.06 / $86.99	Professional		$38.77	$51.06	$86.99