Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $102.33	Professional		$45.71	$57.54	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $117.49 / $138.04	Professional		$70.79	$117.49	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $61.66 / $173.78	Facility		$52.48	$61.66	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $120.23	Professional		$44.67	$44.67	$120.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $63.10 / $70.79	Professional		$56.23	$63.10	$70.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $81.28 / $162.18	Facility		$52.48	$81.28	$162.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $31.62	Professional		$30.90	$30.90	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $79.43	Professional		$30.20	$30.20	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $56.23 / $134.90	Facility		$29.51	$56.23	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $74.13	Professional		$40.74	$57.54	$74.13