Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.49 / $33.49 / $33.49	Facility		$33.49	$33.49	$33.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $33.49 / $36.68	Professional		$19.54	$33.49	$36.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $44.00 / $77.37	Professional		$41.89	$44.00	$77.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.09 / $49.09 / $49.09	Facility		$49.09	$49.09	$49.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $17.09 / $17.09	Professional		$17.09	$17.09	$17.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.91 / $39.86 / $73.04	Facility		$27.91	$39.86	$73.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $42.60 / $42.60	Professional		$42.60	$42.60	$42.60
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 $13.93 / $19.96 / $24.18	Professional		$13.93	$19.96	$24.18