Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.46 / $69.65 / $214.01	Facility		$19.46	$69.65	$214.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $21.71 / $22.59	Professional		$19.46	$21.71	$22.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $190.84 / $381.03	Facility		$49.00	$190.84	$381.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $63.00 / $81.81	Professional		$34.50	$63.00	$81.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.35 / $72.34 / $150.13	Facility		$45.35	$72.34	$150.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $15.65 / $35.61	Professional		$12.65	$15.65	$35.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.46 / $28.82 / $48.83	Facility		$19.46	$28.82	$48.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $35.75 / $46.00	Professional		$28.00	$35.75	$46.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $13.72 / $19.76	Professional		$13.72	$13.72	$19.76
United Facility/Professional Facility Modifier Low / Median / High Price $22.46 / $22.46 / $29.94	Facility		$22.46	$22.46	$29.94
United Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $15.75 / $34.88	Professional		$10.48	$15.75	$34.88