Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $17.67 / $107.43	Facility		$15.86	$17.67	$107.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $17.67 / $19.71	Professional		$17.67	$17.67	$19.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $171.85 / $292.69	Facility		$62.26	$171.85	$292.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $30.97 / $57.00	Professional		$22.65	$30.97	$57.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.16 / $65.65 / $136.31	Facility		$41.16	$65.65	$136.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $14.29 / $32.52	Professional		$11.50	$14.29	$32.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $26.15 / $44.31	Facility		$17.67	$26.15	$44.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $32.44 / $42.00	Professional		$25.00	$32.44	$42.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $12.46 / $17.94	Professional		$12.46	$12.46	$17.94
United Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $15.57 / $40.77	Professional		$9.51	$15.57	$40.77