Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $77.62	Professional		$42.66	$57.54	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $120.23	Professional		$64.57	$104.71	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $141.25	Professional		$43.65	$43.65	$141.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $75.86 / $165.96	Facility		$51.29	$75.86	$165.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
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 $0.07 / $53.70 / $123.03	Facility		$0.07	$53.70	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $69.18	Professional		$35.48	$51.29	$69.18