Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.67 / $45.67 / $199.04	Facility		$45.67	$45.67	$199.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $50.90 / $50.90	Professional		$45.67	$50.90	$50.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.52 / $31.62 / $62.80	Facility		$12.52	$31.62	$62.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.68 / $53.04 / $63.65	Professional		$46.68	$53.04	$63.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $47.34 / $47.34	Facility		$47.34	$47.34	$47.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $47.34 / $47.34	Professional		$47.34	$47.34	$47.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $45.67 / $54.80 / $61.65	Facility		$45.67	$54.80	$61.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $46.41 / $50.03	Professional		$46.41	$46.41	$50.03