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 $39.81 / $52.48 / $81.28	Professional		$39.81	$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 / $58.88 / $162.18	Facility		$41.69	$58.88	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $109.65	Professional		$42.66	$42.66	$109.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $61.66 / $63.10	Professional		$56.23	$61.66	$63.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $75.86 / $147.91	Facility		$46.77	$75.86	$147.91
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 / $63.10	Professional		$30.20	$30.20	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $53.70 / $128.82	Facility		$40.74	$53.70	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $63.10	Professional		$36.31	$46.77	$63.10