Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $3.44 / $3.44	Facility		$3.44	$3.44	$3.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $3.44	Professional		$3.44	$3.44	$3.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $187.46 / $335.81	Facility		$68.84	$187.46	$335.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.60 / $139.60 / $139.60	Facility		$139.60	$139.60	$139.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.56 / $119.56 / $119.56	Professional		$119.56	$119.56	$119.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $3.78 / $5.57	Facility		$3.44	$3.78	$5.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $124.16 / $124.16 / $124.16	Professional		$124.16	$124.16	$124.16
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 $336.37 / $388.26 / $511.71	Facility		$336.37	$388.26	$511.71