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 $55.31 / $57.64 / $101.98	Professional		$55.31	$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 $70.70 / $70.70 / $78.06	Facility		$70.70	$70.70	$78.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $56.93 / $70.70	Professional		$51.62	$56.93	$70.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $57.64 / $75.80 / $182.90	Facility		$57.64	$75.80	$182.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $57.00	Professional		$53.00	$53.00	$57.00
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 / $72.92	Professional		$38.74	$55.51	$72.92