Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $81.28	Professional		$40.74	$52.48	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $95.50 / $112.20	Professional		$54.95	$95.50	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $81.28 / $169.82	Facility		$41.69	$81.28	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $128.82	Professional		$58.88	$58.88	$128.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $70.79	Professional		$46.77	$64.57	$70.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $79.43 / $162.18	Facility		$46.77	$79.43	$162.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
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 $46.77 / $58.88 / $128.82	Facility		$46.77	$58.88	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $63.10	Professional		$36.31	$46.77	$63.10