Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.05 / $52.05 / $210.44	Facility		$52.05	$52.05	$210.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.05 / $53.95 / $53.95	Professional		$52.05	$53.95	$53.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.61 / $730.76 / $1,369.96	Facility		$278.61	$730.76	$1,369.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $26.95 / $35.34	Professional		$26.95	$26.95	$35.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Facility		$53.95	$53.95	$53.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Professional		$53.95	$53.95	$53.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $52.05 / $70.27	Facility		$23.63	$52.05	$70.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $52.89 / $52.89	Professional		$52.89	$52.89	$52.89