Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $46.77 / $147.91	Professional		$44.67	$46.77	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $117.49 / $144.54	Professional		$36.31	$117.49	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $57.54 / $147.91	Facility		$46.77	$57.54	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $83.18 / $1,288.25	Professional		$46.77	$83.18	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $125.89	Professional		$57.54	$57.54	$125.89