Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.84 / $49.84 / $49.84	Facility		$49.84	$49.84	$49.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $49.84 / $82.92	Professional		$47.05	$49.84	$82.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $110.76 / $134.07	Professional		$90.00	$110.76	$134.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.96 / $87.96 / $97.11	Facility		$87.96	$87.96	$97.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $74.77 / $87.96	Professional		$74.77	$74.77	$87.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $49.57 / $78.13 / $159.94	Facility		$49.57	$78.13	$159.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $78.13 / $78.13	Professional		$78.13	$78.13	$78.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.27 / $75.27 / $75.27	Professional		$75.27	$75.27	$75.27
United Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $55.08 / $74.39	Professional		$41.15	$55.08	$74.39