Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.13 / $40.28 / $244.90	Facility		$28.13	$40.28	$244.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $52.36 / $77.45	Professional		$27.37	$52.36	$77.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.25 / $211.55 / $355.48	Facility		$90.25	$211.55	$355.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $60.00 / $130.00	Professional		$51.64	$60.00	$130.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.86 / $149.72 / $312.12	Facility		$93.86	$149.72	$312.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $29.29 / $74.34	Professional		$25.18	$29.29	$74.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.28 / $59.63 / $97.42	Facility		$40.28	$59.63	$97.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $73.95 / $94.00	Professional		$70.98	$73.95	$94.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $28.40 / $40.90	Professional		$28.40	$28.40	$40.90
United Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $30.98 / $72.16	Professional		$21.69	$30.98	$72.16