Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.64 / $57.64 / $57.64	Facility		$57.64	$57.64	$57.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $57.64 / $101.98	Professional		$52.40	$57.64	$101.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $37.82 / $121.12	Professional		$30.00	$37.82	$121.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $64.66 / $71.39	Facility		$15.06	$64.66	$71.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $75.00 / $92.55	Professional		$47.20	$75.00	$92.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.83 / $82.00 / $182.90	Facility		$51.83	$82.00	$182.90
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 $78.70 / $78.70 / $78.70	Professional		$78.70	$78.70	$78.70
United Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $55.51 / $70.03	Professional		$38.74	$55.51	$70.03