Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.44 / $37.44 / $37.44	Facility		$37.44	$37.44	$37.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $37.44 / $75.15	Professional		$37.44	$37.44	$75.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $62.83 / $86.66	Professional		$49.00	$62.83	$86.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $47.13 / $117.00	Facility		$47.13	$47.13	$117.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $47.13 / $47.13	Professional		$34.40	$47.13	$47.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $37.44 / $46.43 / $116.15	Facility		$37.44	$46.43	$116.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $43.50 / $116.00	Professional		$43.50	$43.50	$116.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.78 / $46.73 / $72.00	Professional		$33.78	$46.73	$72.00