Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.93 / $26.93 / $26.93	Facility		$26.93	$26.93	$26.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $26.93 / $31.78	Professional		$21.58	$26.93	$31.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.04 / $139.40 / $265.54	Facility		$72.04	$139.40	$265.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.41 / $33.07 / $46.17	Professional		$29.41	$33.07	$46.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.83 / $274.29 / $442.75	Facility		$107.83	$274.29	$442.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $35.92 / $70.20	Professional		$25.44	$35.92	$70.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $40.00 / $79.92	Facility		$28.97	$40.00	$79.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $118.46 / $118.46 / $118.46	Professional		$118.46	$118.46	$118.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $34.77 / $51.41	Professional		$25.48	$34.77	$51.41
United Facility/Professional Professional Modifier Low / Median / High Price $25.24 / $36.40 / $62.89	Professional		$25.24	$36.40	$62.89