Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.10 / $111.20 / $795.15	Facility		$53.10	$111.20	$795.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.53 / $52.55 / $57.55	Professional		$18.53	$52.55	$57.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $61.54 / $79.09	Professional		$41.00	$61.54	$79.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.79 / $39.47 / $48.77	Facility		$29.79	$39.47	$48.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $39.47 / $48.77	Professional		$33.56	$39.47	$48.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $55.68 / $103.22	Facility		$36.65	$55.68	$103.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $42.00	Professional		$42.00	$42.00	$42.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $33.44 / $3,000.00	Professional		$33.44	$33.44	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $30.56 / $39.52	Professional		$21.82	$30.56	$39.52