Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $16.75 / $101.84	Facility		$15.04	$16.75	$101.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $16.75 / $18.69	Professional		$16.75	$16.75	$18.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.44 / $89.43 / $147.79	Facility		$44.44	$89.43	$147.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $29.47 / $54.00	Professional		$21.48	$29.47	$54.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.03 / $62.26 / $130.38	Facility		$39.03	$62.26	$130.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $13.45 / $30.46	Professional		$10.85	$13.45	$30.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $24.80 / $42.01	Facility		$16.75	$24.80	$42.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $30.77 / $40.00	Professional		$24.00	$30.77	$40.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $11.81 / $17.01	Professional		$11.81	$11.81	$17.01
United Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Facility		$21.48	$21.48	$21.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.89 / $30.01	Professional		$9.02	$12.89	$30.01