Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.19 / $73.84 / $160.99	Facility		$21.19	$73.84	$160.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.19 / $24.20 / $24.63	Professional		$21.19	$24.20	$24.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $116.31 / $234.20	Facility		$39.11	$116.31	$234.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $27.30 / $68.00	Professional		$26.00	$27.30	$68.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.38 / $78.76 / $163.96	Facility		$49.38	$78.76	$163.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.02 / $39.24	Professional		$13.80	$17.02	$39.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.19 / $31.38 / $53.13	Facility		$21.19	$31.38	$53.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $38.90 / $50.00	Professional		$30.00	$38.90	$50.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $14.94 / $21.52	Professional		$14.94	$14.94	$21.52
United Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $16.30 / $37.95	Professional		$11.41	$16.30	$37.95