Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $60.26 / $66.07	Professional		$30.90	$60.26	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $97.72	Professional		$70.79	$74.13	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $66.07 / $120.23	Facility		$42.66	$66.07	$120.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
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 Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $54.95 / $75.86	Professional		$23.99	$54.95	$75.86