Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $79.43	Professional		$38.02	$46.77	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $87.10 / $109.65	Professional		$47.86	$87.10	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $51.29 / $147.91	Facility		$39.81	$51.29	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $107.15	Professional		$37.15	$37.15	$107.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $60.26	Professional		$46.77	$46.77	$60.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $67.61 / $144.54	Facility		$44.67	$67.61	$144.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $63.10	Professional		$30.20	$30.20	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $47.86 / $112.20	Facility		$0.07	$47.86	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $57.54	Professional		$33.88	$45.71	$57.54