Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $42.28 / $257.06	Facility		$29.60	$42.28	$257.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.24 / $52.62 / $75.28	Facility		$42.24	$52.62	$75.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $42.28 / $57.82	Professional		$40.00	$42.28	$57.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.81 / $85.74 / $241.05	Facility		$49.81	$85.74	$241.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $48.57 / $60.71	Professional		$42.28	$48.57	$60.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $42.28 / $50.74	Facility		$39.61	$42.28	$50.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $39.18 / $42.28	Professional		$39.18	$39.18	$42.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $23.25 / $33.49	Professional		$23.25	$23.25	$33.49
United Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $22.98 / $45.96	Professional		$17.73	$22.98	$45.96