Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $173.78 / $194.98	Facility		$46.77	$173.78	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $60.26	Professional		$39.81	$46.77	$60.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $28.84 / $67.61	Facility		$25.70	$28.84	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $69.18	Professional		$50.12	$58.88	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $52.48 / $64.57	Facility		$9.55	$52.48	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $107.15	Facility		$50.12	$50.12	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $53.70	Professional		$48.98	$48.98	$53.70