Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.53 / $65.53 / $65.53	Facility		$65.53	$65.53	$65.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $65.53 / $86.32	Professional		$62.41	$65.53	$86.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $62.41 / $78.02	Professional		$60.00	$62.41	$78.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $62.41 / $62.41	Facility		$58.88	$62.41	$62.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $62.41	Professional		$62.41	$62.41	$62.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $65.53 / $92.63 / $149.91	Facility		$65.53	$92.63	$149.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $92.63 / $92.63	Professional		$92.63	$92.63	$92.63
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 $57.42 / $62.41 / $68.65	Professional		$57.42	$62.41	$68.65