Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.79 / $42.79 / $42.79	Facility		$42.79	$42.79	$42.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $42.79 / $75.69	Professional		$41.05	$42.79	$75.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $61.54 / $91.63	Professional		$50.00	$61.54	$91.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $54.02 / $59.64	Facility		$38.50	$54.02	$59.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $39.43 / $72.95	Professional		$39.43	$39.43	$72.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.46 / $62.00 / $135.76	Facility		$38.46	$62.00	$135.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $49.00 / $52.00	Professional		$49.00	$49.00	$52.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $58.40	Professional		$58.40	$58.40	$58.40
United Facility/Professional Facility Modifier Low / Median / High Price $115.26 / $115.26 / $115.26	Facility		$115.26	$115.26	$115.26
United Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $42.74 / $58.13	Professional		$28.75	$42.74	$58.13