Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $81.28	Professional		$40.74	$53.70	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $114.82	Professional		$56.23	$97.72	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $60.26 / $173.78	Facility		$42.66	$60.26	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $128.82	Professional		$43.65	$43.65	$128.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $67.61	Professional		$47.86	$61.66	$67.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $75.86 / $158.49	Facility		$42.66	$75.86	$158.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $31.62	Professional		$30.90	$30.90	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $64.57	Professional		$30.20	$30.20	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $72.44 / $131.83	Facility		$63.10	$72.44	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $72.44	Professional		$38.02	$47.86	$72.44