Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $34.15 / $138.11	Facility		$34.15	$34.15	$138.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $35.40 / $35.40	Professional		$34.15	$35.40	$35.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.03 / $56.94 / $104.91	Facility		$5.03	$56.94	$104.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $46.92 / $56.30	Professional		$41.29	$46.92	$56.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Facility		$35.40	$35.40	$35.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $39.67 / $46.12	Facility		$34.15	$39.67	$46.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.08 / $38.47 / $48.08	Professional		$36.08	$38.47	$48.08
United Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $87.50 / $87.50	Facility		$87.50	$87.50	$87.50
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $34.72	Professional		$34.72	$34.72	$34.72