Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Facility		$52.00	$52.00	$52.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Professional		$52.00	$52.00	$52.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $115.00 / $166.47	Professional		$61.00	$115.00	$166.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $71.06	Facility		$25.00	$25.00	$71.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Professional		$21.25	$21.25	$21.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $59.22 / $110.03	Facility		$52.00	$59.22	$110.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $59.22 / $59.22	Professional		$59.22	$59.22	$59.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Facility		$48.80	$48.80	$48.80
United Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $35.53 / $47.38	Professional		$23.69	$35.53	$47.38