Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.39 / $55.39 / $1,899.96	Facility		$55.39	$55.39	$1,899.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $52.75 / $55.39	Professional		$45.96	$52.75	$55.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $53.02 / $72.14	Professional		$47.79	$53.02	$72.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.77 / $52.75 / $52.75	Facility		$49.77	$52.75	$52.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Professional		$52.75	$52.75	$52.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.12 / $55.39 / $88.96	Facility		$22.12	$55.39	$88.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $22.12 / $22.12	Professional		$22.12	$22.12	$22.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $55.38 / $67.33	Professional		$51.29	$55.38	$67.33
United Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $52.75 / $58.03	Professional		$48.53	$52.75	$58.03