Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.23 / $60.23 / $60.23	Facility		$60.23	$60.23	$60.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $60.23 / $106.56	Professional		$54.75	$60.23	$106.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $80.69 / $128.99	Professional		$64.00	$80.69	$128.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $81.30 / $89.77	Facility		$54.00	$81.30	$89.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $73.19 / $81.30	Professional		$59.35	$73.19	$81.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.16 / $91.48 / $191.12	Facility		$54.16	$91.48	$191.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.23 / $82.23 / $82.23	Professional		$82.23	$82.23	$82.23
United Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $57.78 / $73.19	Professional		$40.47	$57.78	$73.19