Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.27 / $63.27 / $63.27	Facility		$63.27	$63.27	$63.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $63.27 / $111.94	Professional		$60.71	$63.27	$111.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $84.48 / $135.51	Professional		$67.00	$84.48	$135.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $70.98 / $78.39	Facility		$28.80	$70.98	$78.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $70.98 / $76.88	Professional		$51.82	$70.98	$76.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $36.59 / $85.42 / $200.77	Facility		$36.59	$85.42	$200.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $74.00 / $74.00	Professional		$74.00	$74.00	$74.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Professional		$86.38	$86.38	$86.38
United Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $60.94 / $76.88	Professional		$42.52	$60.94	$76.88