Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.54 / $52.54 / $52.54	Facility		$52.54	$52.54	$52.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $52.54 / $87.41	Professional		$52.54	$52.54	$87.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $88.25 / $124.51	Professional		$70.00	$88.25	$124.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.31 / $97.44 / $107.59	Facility		$52.31	$97.44	$107.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $71.13 / $97.44	Professional		$71.13	$71.13	$97.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $52.26 / $85.00 / $184.45	Facility		$52.26	$85.00	$184.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $71.00	Professional		$66.00	$66.00	$71.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.35 / $79.35 / $79.35	Professional		$79.35	$79.35	$79.35
United Facility/Professional Facility Modifier Low / Median / High Price $156.60 / $156.60 / $156.60	Facility		$156.60	$156.60	$156.60
United Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $58.60 / $88.28	Professional		$44.72	$58.60	$88.28