Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $57.76	Facility		$57.76	$57.76	$57.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.76 / $57.76 / $115.93	Professional		$57.76	$57.76	$115.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $168.00 / $218.15	Professional		$134.00	$168.00	$218.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.62 / $56.50 / $198.75	Facility		$42.62	$56.50	$198.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $56.50 / $56.50	Professional		$41.25	$56.50	$56.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $71.62 / $244.00	Facility		$57.76	$71.62	$244.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $205.00 / $205.00 / $205.00	Professional		$205.00	$205.00	$205.00
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 $47.74 / $72.94 / $115.81	Professional		$47.74	$72.94	$115.81