Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.46 / $44.48 / $108.85	Facility		$19.46	$44.48	$108.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $24.73 / $27.80	Professional		$23.60	$24.73	$27.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $149.80 / $299.26	Facility		$18.09	$149.80	$299.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $33.00 / $70.00	Professional		$27.80	$33.00	$70.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.52 / $80.59 / $167.91	Facility		$50.52	$80.59	$167.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.53 / $39.75	Professional		$14.13	$17.53	$39.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.68 / $32.10 / $54.39	Facility		$21.68	$32.10	$54.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $39.83 / $51.00	Professional		$31.00	$39.83	$51.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $15.29 / $22.02	Professional		$15.29	$15.29	$22.02
United Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $19.11 / $38.85	Professional		$11.68	$19.11	$38.85