Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $34.52 / $209.88	Facility		$30.98	$34.52	$209.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $34.52 / $38.50	Professional		$22.13	$34.52	$38.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.58 / $272.42 / $291.13	Facility		$73.58	$272.42	$291.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $44.25 / $60.51	Professional		$44.25	$44.25	$60.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.41 / $116.21 / $252.28	Facility		$80.41	$116.21	$252.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $20.21 / $100.95	Professional		$8.85	$20.21	$100.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $34.52 / $46.46	Facility		$17.64	$34.52	$46.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $17.80 / $19.57	Professional		$17.80	$17.80	$19.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $24.34 / $35.04	Professional		$24.34	$24.34	$35.04
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $22.13 / $39.15	Professional		$10.50	$22.13	$39.15