Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $52.47 / $52.47	Facility		$52.47	$52.47	$52.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $52.47 / $58.77	Professional		$37.21	$52.47	$58.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $133.12 / $211.00	Professional		$120.00	$133.12	$211.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.17 / $53.30 / $80.53	Facility		$51.17	$53.30	$80.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $43.49 / $43.49	Professional		$43.49	$43.49	$43.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.64 / $64.01 / $147.61	Facility		$44.64	$64.01	$147.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.01 / $64.01 / $64.01	Professional		$64.01	$64.01	$64.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $40.60 / $51.21	Professional		$28.33	$40.60	$51.21