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 $38.02 / $54.95 / $100.00	Professional		$38.02	$54.95	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $134.90	Professional		$67.61	$114.82	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $66.07 / $162.18	Facility		$51.29	$66.07	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $123.03	Professional		$48.98	$48.98	$123.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $63.10	Professional		$50.12	$56.23	$63.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $77.62 / $173.78	Facility		$51.29	$77.62	$173.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $77.62	Professional		$30.20	$30.20	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $51.29 / $120.23	Facility		$43.65	$51.29	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $70.79	Professional		$36.31	$54.95	$70.79