Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $61.66	Professional		$28.84	$36.31	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $67.61 / $83.18	Professional		$37.15	$67.61	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $38.90 / $112.20	Facility		$12.30	$38.90	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $81.28	Professional		$28.84	$28.84	$81.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $45.71	Professional		$35.48	$35.48	$45.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $47.86 / $112.20	Facility		$29.51	$47.86	$112.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $20.42	Professional		$19.95	$19.95	$20.42
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 $0.05 / $36.31 / $85.11	Facility		$0.05	$36.31	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $34.67 / $44.67	Professional		$26.30	$34.67	$44.67