Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.52 / $30.66 / $186.41	Facility		$27.52	$30.66	$186.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $32.50 / $39.31	Professional		$30.66	$32.50	$39.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.01 / $242.01 / $258.63	Facility		$242.01	$242.01	$258.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $85.00 / $109.37	Professional		$39.31	$85.00	$109.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.44 / $96.83 / $224.12	Facility		$71.44	$96.83	$224.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.85 / $24.98 / $46.40	Professional		$17.85	$24.98	$46.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $30.66 / $39.31 / $66.48	Facility		$30.66	$39.31	$66.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $21.62 / $21.62	Professional		$21.62	$21.62	$21.62
United Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $23.59 / $39.31	Professional		$16.51	$23.59	$39.31