Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $63.47 / $615.04	Facility		$42.69	$63.47	$615.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.06 / $55.82	Professional		$40.65	$41.06	$55.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.09 / $56.09 / $56.09	Facility		$56.09	$56.09	$56.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $56.16 / $65.70	Professional		$40.65	$56.16	$65.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $38.35 / $40.65	Facility		$38.35	$38.35	$40.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $48.78 / $72.56	Facility		$40.65	$48.78	$72.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $113.23 / $113.23 / $113.23	Professional		$113.23	$113.23	$113.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $54.44 / $54.44	Professional		$54.44	$54.44	$54.44
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65