Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.50 / $19.50 / $118.56	Facility		$17.50	$19.50	$118.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $20.00	Professional		$19.50	$19.50	$20.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.91 / $153.91 / $164.48	Facility		$153.91	$153.91	$164.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $26.25 / $34.50	Professional		$25.00	$26.25	$34.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.44 / $61.59 / $142.55	Facility		$45.44	$61.59	$142.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $14.63 / $14.63	Professional		$14.63	$14.63	$14.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $25.00 / $30.25	Facility		$19.50	$25.00	$30.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $13.75 / $25.00	Professional		$10.50	$13.75	$25.00