Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.55 / $259.25 / $528.37	Facility		$116.55	$259.25	$528.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $20.86 / $23.46	Professional		$20.32	$20.86	$23.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.84 / $128.69 / $218.10	Facility		$48.84	$128.69	$218.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.91 / $49.00	Professional		$19.00	$24.91	$49.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.39 / $75.59 / $153.08	Facility		$47.39	$75.59	$153.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $12.11 / $37.69	Professional		$11.83	$12.11	$37.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $18.25 / $27.04 / $37.86	Facility		$18.25	$27.04	$37.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $27.71 / $36.00	Professional		$21.00	$27.71	$36.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $20.65	Professional		$14.34	$14.34	$20.65
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $15.64 / $31.28	Professional		$10.95	$15.64	$31.28