Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $28.49 / $192.00	Professional		$22.71	$28.49	$192.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.48 / $192.35 / $248.86	Facility		$126.48	$192.35	$248.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Professional		$39.31	$39.31	$39.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $28.10 / $37.00	Facility		$23.65	$28.10	$37.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $27.99 / $40.01	Professional		$22.48	$27.99	$40.01