Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $54.95 / $93.33	Professional		$44.67	$54.95	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $102.33 / $128.82	Professional		$56.23	$102.33	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $60.26 / $169.82	Facility		$50.12	$60.26	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $125.89	Professional		$43.65	$43.65	$125.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $69.18	Professional		$53.70	$53.70	$69.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $77.62 / $169.82	Facility		$51.29	$77.62	$169.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.90	Professional		$30.20	$30.20	$30.90
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 $0.08 / $56.23 / $131.83	Facility		$0.08	$56.23	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $67.61	Professional		$39.81	$53.70	$67.61