Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.28 / $47.28 / $47.28	Facility		$47.28	$47.28	$47.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $47.28 / $83.66	Professional		$47.28	$47.28	$83.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $70.59 / $101.27	Professional		$56.00	$70.59	$101.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.56 / $61.81 / $68.25	Facility		$42.56	$61.81	$68.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $57.46 / $61.81	Professional		$45.12	$57.46	$61.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.51 / $69.00 / $150.03	Facility		$42.51	$69.00	$150.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $58.00	Professional		$54.00	$54.00	$58.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.55 / $64.55 / $64.55	Professional		$64.55	$64.55	$64.55
United Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $47.24 / $59.92	Professional		$36.36	$47.24	$59.92