Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.70 / $38.70 / $38.70	Facility		$38.70	$38.70	$38.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $38.70 / $40.11	Professional		$37.76	$38.70	$40.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $48.62 / $59.00	Professional		$42.37	$48.62	$59.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Facility		$40.11	$40.11	$40.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $38.70 / $44.84 / $65.79	Facility		$38.70	$44.84	$65.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $44.84 / $44.84 / $44.84	Professional		$44.84	$44.84	$44.84
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 $35.40 / $39.33 / $43.26	Professional		$35.40	$39.33	$43.26