Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.83 / $57.83 / $57.83	Facility		$57.83	$57.83	$57.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.57 / $57.83 / $102.31	Professional		$52.57	$57.83	$102.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $88.25 / $124.51	Professional		$70.00	$88.25	$124.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $61.48 / $67.87	Facility		$52.04	$61.48	$67.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $61.48 / $70.26	Professional		$44.88	$61.48	$70.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.95 / $84.00 / $144.08	Facility		$51.95	$84.00	$144.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $71.00	Professional		$66.00	$66.00	$71.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $78.95 / $78.95	Professional		$78.95	$78.95	$78.95
United Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Facility		$29.60	$29.60	$29.60
United Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $54.88 / $70.25	Professional		$38.86	$54.88	$70.25