Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.72 / $42.72 / $42.72	Facility		$42.72	$42.72	$42.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.72 / $42.72 / $85.75	Professional		$42.72	$42.72	$85.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.43 / $119.43 / $119.43	Professional		$119.43	$119.43	$119.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.57 / $75.05 / $75.05	Facility		$31.57	$75.05	$75.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $54.79 / $76.53	Professional		$54.79	$54.79	$76.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.72 / $52.97 / $132.47	Facility		$42.72	$52.97	$132.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $103.72 / $103.72 / $103.72	Professional		$103.72	$103.72	$103.72
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 $35.31 / $54.53 / $86.50	Professional		$35.31	$54.53	$86.50