Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.85 / $56.85 / $221.03	Facility		$56.85	$56.85	$221.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.67 / $56.85 / $59.86	Professional		$56.67	$56.85	$59.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.53 / $91.59 / $152.79	Facility		$52.53	$91.59	$152.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Facility		$58.93	$58.93	$58.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Professional		$58.93	$58.93	$58.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $56.85 / $71.78 / $73.34	Facility		$56.85	$71.78	$73.34
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 $57.78 / $57.78 / $57.78	Professional		$57.78	$57.78	$57.78