Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $26.41 / $160.57	Facility		$23.70	$26.41	$160.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $26.41 / $29.46	Professional		$26.41	$26.41	$29.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.68 / $127.08 / $208.46	Facility		$43.68	$127.08	$208.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $33.86 / $46.30	Professional		$33.86	$33.86	$46.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $98.16 / $203.47	Facility		$61.54	$98.16	$203.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $16.34 / $49.04	Professional		$15.45	$16.34	$49.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $30.47 / $46.43	Facility		$23.88	$30.47	$46.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $35.54 / $45.08	Professional		$34.11	$35.54	$45.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $26.82	Professional		$18.62	$18.62	$26.82
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $20.32 / $40.63	Professional		$14.22	$20.32	$40.63