Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $51.12 / $51.12	Facility		$51.12	$51.12	$51.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.12 / $51.12 / $51.12	Professional		$51.12	$51.12	$51.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.50 / $120.11 / $290.70	Facility		$42.50	$120.11	$290.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.42 / $121.42 / $121.42	Facility		$121.42	$121.42	$121.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $56.23 / $82.81	Facility		$51.12	$56.23	$82.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $79.84 / $79.84	Professional		$79.84	$79.84	$79.84
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 $55.50 / $55.50 / $59.45	Facility		$55.50	$55.50	$59.45