Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $26.67 / $162.15	Facility		$23.93	$26.67	$162.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $28.18 / $29.75	Professional		$26.67	$28.18	$29.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.53 / $99.19 / $215.85	Facility		$39.53	$99.19	$215.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $34.19 / $46.75	Professional		$34.19	$34.19	$46.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.13 / $99.10 / $205.45	Facility		$62.13	$99.10	$205.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $20.76 / $49.04	Professional		$15.94	$20.76	$49.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.45 / $34.19 / $58.54	Facility		$26.45	$34.19	$58.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $43.36 / $45.19 / $57.30	Professional		$43.36	$45.19	$57.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.80 / $27.08	Professional		$18.80	$18.80	$27.08
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $21.47 / $44.08	Professional		$14.36	$21.47	$44.08