Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.98 / $16.32 / $163.84	Facility		$12.98	$16.32	$163.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $14.46 / $16.13	Professional		$14.46	$14.46	$16.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.59 / $165.54 / $291.87	Facility		$59.59	$165.54	$291.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $25.35 / $47.00	Professional		$18.54	$25.35	$47.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.69 / $53.74 / $112.60	Facility		$33.69	$53.74	$112.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $11.62 / $26.33	Professional		$9.36	$11.62	$26.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $21.41 / $36.27	Facility		$14.46	$21.41	$36.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $26.56 / $34.00	Professional		$21.00	$26.56	$34.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $14.68	Professional		$10.19	$10.19	$14.68
United Facility/Professional Facility Modifier Low / Median / High Price $16.69 / $18.54 / $18.54	Facility		$16.69	$18.54	$18.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $11.12 / $22.25	Professional		$7.79	$11.12	$22.25