Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.84 / $22.23 / $135.16	Facility		$14.84	$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 $33.09 / $71.93 / $121.52	Facility		$33.09	$71.93	$121.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $28.50 / $44.00	Professional		$22.00	$28.50	$44.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.81 / $82.64 / $162.55	Facility		$51.81	$82.64	$162.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $12.98 / $40.78	Professional		$12.42	$12.98	$40.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $25.65 / $36.84	Facility		$19.95	$25.65	$36.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $27.37 / $32.00	Professional		$22.00	$27.37	$32.00
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 / $17.10 / $36.50	Professional		$11.97	$17.10	$36.50