Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $47.86	Professional		$23.99	$30.20	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $57.54 / $67.61	Professional		$34.67	$57.54	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $37.15 / $104.71	Facility		$25.70	$37.15	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $67.61	Professional		$27.54	$27.54	$67.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $34.67 / $38.90	Professional		$32.36	$34.67	$38.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $44.67 / $95.50	Facility		$25.70	$44.67	$95.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $38.90	Professional		$30.20	$30.20	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $43.65 / $79.43	Facility		$38.02	$43.65	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.84 / $43.65	Professional		$22.39	$28.84	$43.65