Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $61.66	Professional		$32.36	$47.86	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $169.82	Professional		$120.23	$131.83	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $67.61 / $147.91	Facility		$42.66	$67.61	$147.91
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 Professional Modifier Low / Median / High Price $30.20 / $41.69 / $54.95	Professional		$30.20	$41.69	$54.95