Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $44.90	Facility		$35.90	$35.90	$44.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $35.92	Professional		$35.92	$35.92	$35.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $45.32 / $67.47	Facility		$35.90	$45.32	$67.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $35.92 / $49.12	Professional		$35.90	$35.92	$49.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.29 / $88.50 / $204.83	Facility		$65.29	$88.50	$204.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $35.90 / $35.90	Professional		$35.90	$35.90	$35.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $48.49	Facility		$35.90	$35.90	$48.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $35.92	Professional		$35.92	$35.92	$35.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $19.76 / $19.76	Professional		$19.76	$19.76	$19.76
United Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $19.75 / $35.90	Professional		$15.08	$19.75	$35.90