Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $59.31 / $172.92	Facility		$51.31	$59.31	$172.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $59.31	Professional		$51.31	$51.31	$59.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $63.63 / $93.85	Facility		$51.31	$63.63	$93.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $90.22	Professional		$51.31	$51.31	$90.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.88 / $104.05 / $292.55	Facility		$34.88	$104.05	$292.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Professional		$51.31	$51.31	$51.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $100.00 / $100.00	Facility		$51.31	$100.00	$100.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Professional		$51.31	$51.31	$51.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $28.22 / $28.22	Professional		$28.22	$28.22	$28.22
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $25.66 / $51.31	Professional		$21.55	$25.66	$51.31