Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.78 / $16.11 / $97.95	Facility		$6.78	$16.11	$97.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $16.11 / $17.97	Professional		$16.11	$16.11	$17.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.35 / $84.60 / $142.13	Facility		$42.35	$84.60	$142.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $28.24 / $52.00	Professional		$20.65	$28.24	$52.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.52 / $59.85 / $124.45	Facility		$37.52	$59.85	$124.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $12.93 / $29.94	Professional		$10.52	$12.93	$29.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.11 / $23.84 / $40.39	Facility		$16.11	$23.84	$40.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $29.58 / $38.00	Professional		$23.00	$29.58	$38.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $16.35	Professional		$11.36	$11.36	$16.35
United Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $12.39 / $28.85	Professional		$8.67	$12.39	$28.85