Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.83 / $121.32 / $129.00	Facility		$22.83	$121.32	$129.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $25.51 / $26.55	Professional		$22.84	$25.51	$26.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.26 / $214.03 / $220.47	Facility		$200.26	$214.03	$220.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $38.00 / $82.86	Professional		$29.28	$38.00	$82.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.21 / $84.87 / $166.93	Facility		$53.21	$84.87	$166.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $19.03 / $67.17	Professional		$13.92	$19.03	$67.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $26.35 / $30.74	Facility		$20.50	$26.35	$30.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $32.53 / $32.53	Professional		$29.28	$32.53	$32.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $16.10 / $23.19	Professional		$16.10	$16.10	$23.19
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.57 / $35.14	Professional		$12.30	$17.57	$35.14