Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.06 / $47.99 / $291.77	Facility		$43.06	$47.99	$291.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $47.99 / $53.52	Professional		$47.99	$47.99	$53.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.74 / $378.74 / $404.75	Facility		$378.74	$378.74	$404.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $74.00 / $98.36	Professional		$61.52	$74.00	$98.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.81 / $151.56 / $350.79	Facility		$111.81	$151.56	$350.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $39.20 / $72.80	Professional		$28.00	$39.20	$72.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.99 / $61.52 / $89.20	Facility		$47.99	$61.52	$89.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $33.84 / $33.84	Professional		$33.84	$33.84	$33.84
United Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $30.76 / $56.02	Professional		$25.84	$30.76	$56.02