Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $147.91 / $165.96	Facility		$39.81	$147.91	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $57.54	Professional		$33.11	$39.81	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $48.98 / $89.13	Facility		$21.88	$48.98	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $52.48 / $58.88	Professional		$48.98	$52.48	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $44.67 / $54.95	Facility		$33.11	$44.67	$54.95
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 $40.74 / $42.66 / $87.10	Facility		$40.74	$42.66	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $41.69 / $43.65	Professional		$39.81	$41.69	$43.65