Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $22.23 / $135.16	Facility		$19.95	$22.23	$135.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $22.23 / $24.80	Professional		$22.23	$22.23	$24.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.41 / $107.53 / $181.47	Facility		$45.41	$107.53	$181.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $36.00 / $66.00	Professional		$28.50	$36.00	$66.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.81 / $82.64 / $171.86	Facility		$51.81	$82.64	$171.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $16.53 / $40.78	Professional		$13.31	$16.53	$40.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.05 / $30.37 / $51.45	Facility		$22.05	$30.37	$51.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $37.67 / $48.00	Professional		$29.00	$37.67	$48.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $15.68 / $22.57	Professional		$15.68	$15.68	$22.57
United Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $17.89 / $36.75	Professional		$11.97	$17.89	$36.75