Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $95.50	Professional		$37.15	$51.29	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $109.65 / $128.82	Professional		$63.10	$109.65	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $61.66 / $147.91	Facility		$47.86	$61.66	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $109.65	Professional		$44.67	$44.67	$109.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $64.57	Professional		$45.71	$58.88	$64.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $74.13 / $158.49	Facility		$47.86	$74.13	$158.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $26.30	Professional		$25.70	$25.70	$26.30
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 $39.81 / $45.71 / $109.65	Facility		$39.81	$45.71	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $66.07	Professional		$33.88	$51.29	$66.07