Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.95 / $58.95 / $58.95	Facility		$58.95	$58.95	$58.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $58.95 / $64.56	Professional		$43.51	$58.95	$64.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $77.42 / $133.63	Professional		$73.73	$77.42	$133.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.40 / $86.40 / $86.40	Facility		$86.40	$86.40	$86.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.95 / $72.63 / $134.40	Facility		$58.95	$72.63	$134.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $74.56 / $74.56	Professional		$74.56	$74.56	$74.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $34.97 / $40.53	Professional		$24.52	$34.97	$40.53