Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.63 / $28.56 / $173.65	Facility		$25.63	$28.56	$173.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $32.50 / $39.31	Professional		$28.56	$32.50	$39.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.46 / $225.46 / $240.94	Facility		$225.46	$225.46	$240.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $85.00 / $109.37	Professional		$36.61	$85.00	$109.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.54 / $90.20 / $208.77	Facility		$66.54	$90.20	$208.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $23.26 / $54.02	Professional		$16.62	$23.26	$54.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $28.56 / $36.61 / $62.99	Facility		$28.56	$36.61	$62.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.14 / $20.14	Professional		$20.14	$20.14	$20.14
United Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $36.61 / $36.61	Facility		$32.96	$36.61	$36.61
United Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $20.89 / $33.35	Professional		$15.38	$20.89	$33.35