Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $66.07	Professional		$33.11	$40.74	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $107.15	Professional		$54.95	$91.20	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $48.98 / $134.90	Facility		$39.81	$48.98	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $91.20	Professional		$35.48	$35.48	$91.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $57.54	Professional		$38.90	$51.29	$57.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $64.57 / $128.82	Facility		$39.81	$64.57	$128.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $58.88 / $107.15	Facility		$19.95	$58.88	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $60.26	Professional		$32.36	$44.67	$60.26