Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $112.80	Professional		$60.26	$60.26	$112.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.73 / $133.97 / $161.22	Professional		$103.73	$133.97	$161.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.56 / $76.68 / $84.66	Facility		$34.56	$76.68	$84.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $76.68 / $97.20	Professional		$55.98	$76.68	$97.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $106.33 / $195.30	Facility		$60.26	$106.33	$195.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Professional		$90.00	$90.00	$90.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.21 / $109.21 / $109.21	Professional		$109.21	$109.21	$109.21
United Facility/Professional Facility Modifier Low / Median / High Price $48.57 / $76.23 / $106.33	Facility		$48.57	$76.23	$106.33
United Facility/Professional Professional Modifier Low / Median / High Price $53.76 / $77.03 / $97.20	Professional		$53.76	$77.03	$97.20