Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $21.86 / $51.13	Facility		$13.00	$21.86	$51.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $18.53 / $31.84	Professional		$11.15	$18.53	$31.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.97 / $276.94 / $443.28	Facility		$142.97	$276.94	$443.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $29.00 / $48.28	Professional		$10.91	$29.00	$48.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $19.10 / $100.00	Facility		$19.10	$19.10	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $33.42 / $81.06	Professional		$17.32	$33.42	$81.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $27.75 / $52.00	Facility		$14.00	$27.75	$52.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $23.49 / $23.49	Professional		$22.59	$23.49	$23.49
United Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,221.00 / $3,585.00	Facility		$225.00	$1,221.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $25.30 / $53.60	Professional		$15.59	$25.30	$53.60