Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.83 / $13.83 / $13.83	Facility		$13.83	$13.83	$13.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $13.83 / $15.06	Professional		$11.04	$13.83	$15.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.60 / $54.60 / $101.40	Facility		$54.60	$54.60	$101.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $95.00 / $145.88	Professional		$16.77	$95.00	$145.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.32 / $144.32 / $245.69	Facility		$144.32	$144.32	$245.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $72.73 / $144.84	Professional		$16.38	$72.73	$144.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $106.28 / $196.33	Facility		$15.88	$106.28	$196.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $35.14 / $53.77	Professional		$25.45	$35.14	$53.77
United Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $24.34 / $133.91	Professional		$13.97	$24.34	$133.91