Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $34.61 / $46.33	Facility		$34.61	$34.61	$46.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.46 / $38.71 / $51.81	Professional		$30.46	$38.71	$51.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.16 / $122.53 / $206.02	Facility		$57.16	$122.53	$206.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $49.75 / $73.97	Professional		$36.50	$49.75	$73.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.93 / $43.15 / $65.79	Facility		$31.93	$43.15	$65.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.81 / $51.81 / $51.81	Professional		$51.81	$51.81	$51.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $71.34 / $87.29	Professional		$52.95	$71.34	$87.29
United Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $52.27 / $75.80	Professional		$42.95	$52.27	$75.80