Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.68 / $68.68 / $68.68	Facility		$68.68	$68.68	$68.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $65.41 / $68.68	Professional		$40.70	$65.41	$68.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $31.92 / $31.92	Facility		$31.92	$31.92	$31.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $50.54 / $78.70	Professional		$43.79	$50.54	$78.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $65.40 / $65.40	Facility		$61.70	$65.40	$65.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $65.40	Professional		$65.40	$65.40	$65.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $34.27 / $65.41 / $104.45	Facility		$34.27	$65.41	$104.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $34.81 / $34.81	Professional		$34.81	$34.81	$34.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $85.03 / $85.03	Professional		$68.68	$85.03	$85.03
United Facility/Professional Professional Modifier Low / Median / High Price $58.87 / $65.41 / $71.95	Professional		$58.87	$65.41	$71.95