Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.30 / $43.30 / $175.06	Facility		$43.30	$43.30	$175.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.30 / $43.30 / $44.88	Professional		$43.30	$43.30	$44.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $52.80 / $65.20	Professional		$50.16	$52.80	$65.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $44.88 / $44.88	Facility		$44.88	$44.88	$44.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $44.88 / $44.88	Professional		$44.88	$44.88	$44.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $43.30 / $58.08	Facility		$27.93	$43.30	$58.08
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 Professional Modifier Low / Median / High Price $50.16 / $50.16 / $50.16	Professional		$50.16	$50.16	$50.16