Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $54.45 / $54.45	Facility		$54.45	$54.45	$54.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $54.45 / $96.33	Professional		$54.45	$54.45	$96.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.23 / $119.33	Professional		$65.00	$85.23	$119.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $68.45 / $75.58	Facility		$49.00	$68.45	$75.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $66.16 / $68.45	Professional		$49.98	$66.16	$68.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $79.00 / $172.77	Facility		$48.96	$79.00	$172.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $62.00 / $66.00	Professional		$62.00	$62.00	$66.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $74.34 / $74.34	Professional		$74.34	$74.34	$74.34
United Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $141.12	Facility		$141.12	$141.12	$141.12
United Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $52.80 / $71.18	Professional		$36.59	$52.80	$71.18