Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.63 / $52.63 / $212.78	Facility		$52.63	$52.63	$212.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.63 / $54.55 / $54.55	Professional		$52.63	$54.55	$54.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.66 / $62.80 / $67.65	Facility		$41.66	$62.80	$67.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $64.18 / $77.02	Professional		$56.48	$64.18	$77.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Facility		$54.55	$54.55	$54.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Professional		$54.55	$54.55	$54.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $31.87 / $52.63 / $71.05	Facility		$31.87	$52.63	$71.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.63 / $62.07 / $77.58	Professional		$52.63	$62.07	$77.58
United Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42