Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $21.15 / $128.59	Facility		$18.98	$21.15	$128.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $21.15 / $23.59	Professional		$21.15	$21.15	$23.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.39 / $166.90 / $178.36	Facility		$75.39	$166.90	$178.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $19.22 / $32.61	Professional		$15.00	$19.22	$32.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.27 / $78.59 / $154.56	Facility		$49.27	$78.59	$154.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $12.33 / $39.24	Professional		$11.29	$12.33	$39.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $23.47 / $28.47	Facility		$18.98	$23.47	$28.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $24.63 / $24.63	Professional		$19.54	$24.63	$24.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $14.91 / $21.47	Professional		$14.91	$14.91	$21.47
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $15.46 / $32.53	Professional		$11.39	$15.46	$32.53