Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $39.36 / $159.13	Facility		$39.36	$39.36	$159.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $40.79 / $40.79	Professional		$39.36	$40.79	$40.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $54.82 / $126.51	Facility		$31.36	$54.82	$126.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $48.00 / $57.60	Professional		$42.24	$48.00	$57.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Facility		$42.40	$42.40	$42.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Professional		$42.40	$42.40	$42.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $39.36 / $53.14	Facility		$9.44	$39.36	$53.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $39.36 / $49.20	Professional		$39.36	$39.36	$49.20
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00