Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.25 / $53.25 / $53.25	Facility		$53.25	$53.25	$53.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $50.72 / $53.25	Professional		$46.28	$50.72	$53.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $86.23 / $115.11	Professional		$50.72	$86.23	$115.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.84 / $50.71 / $50.71	Facility		$47.84	$50.71	$50.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $50.71 / $50.71	Professional		$50.71	$50.71	$50.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $50.72 / $75.47 / $115.00	Facility		$50.72	$75.47	$115.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $109.25 / $109.25 / $109.25	Professional		$109.25	$109.25	$109.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.41 / $54.62 / $94.30	Professional		$45.41	$54.62	$94.30
United Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $50.72 / $55.79	Professional		$46.66	$50.72	$55.79